Burn of second degree of left palm, sequela

This code signifies a second-degree burn affecting the palm of the patient's left hand, where the acute injury has healed and the patient is now presenting for treatment of a residual condition or complication directly resulting from that burn. Second-degree burns involve the epidermis and dermis, typically presenting with blistering, pain, and redness.

Apply this code when documenting follow-up care for long-term effects of a healed second-degree burn to the left palm, such as scar contractures, chronic pain, nerve damage, or impaired function. This code is appropriate for encounters where the primary focus is managing these sequelae, not the initial acute burn treatment.

• Always ensure the documentation clearly links the current condition to the previous burn injury.
• Do not use this code for the initial treatment of an acute burn; use the acute burn code with the appropriate seventh character for initial encounter.
• Consider additional codes for specific sequelae (e.g., scar contracture, chronic pain) to provide a complete clinical picture.