Leakage of breast prosthesis and implant, sequela

This code describes the long-term effects or complications arising from a breast prosthesis or implant that has leaked. It indicates that the leakage itself is no longer an acute event, but rather the patient is experiencing residual issues or conditions directly attributable to that past leakage.

Apply this code when documenting conditions such as chronic inflammation, granuloma formation, capsular contracture, or other persistent symptoms that are a direct consequence of a previously identified breast implant or prosthesis leakage. This code is appropriate when the leakage event has already occurred and the focus of the encounter is on managing its lasting impact.

• Always use this code as a secondary diagnosis, following a code that specifies the nature of the sequela (e.g., specific type of inflammation or pain).
• Ensure documentation clearly links the current condition to a past leakage event of the breast prosthesis or implant.
• The "S" seventh character indicates sequela, meaning the residual effect of a past condition, not the acute event itself.