Child physical abuse, suspected, sequela

This code signifies a past instance of suspected physical abuse in a child, where the current encounter addresses a condition or symptom resulting from that prior abuse. It indicates that the abuse itself is not ongoing, but its long-term effects are being treated or evaluated.

Apply this code when a child presents with physical or psychological sequelae (e.g., chronic pain, developmental delays, behavioral issues, scars) that are believed to be a direct consequence of a previously suspected physical abuse incident. This is appropriate for follow-up care or when the long-term impact of past abuse is the focus of the visit.

• Always use this code as a secondary diagnosis, following the code for the specific sequela being treated.
• Ensure documentation clearly links the current condition to a history of suspected child physical abuse.
• The "S" in the seventh character indicates a sequela, meaning the initial injury or event has healed, but its residual effects are being addressed.