Fall through floor, sequela

This code signifies a health condition or injury that is a residual effect of a past incident where an individual fell through a floor. It indicates that the initial injury has resolved, but a lasting consequence or complication remains.

This code is appropriate for documenting chronic pain, permanent disability, scar tissue, or psychological sequelae (e.g., phobias) directly attributable to a previous fall through a floor. It should be used when the patient is presenting for treatment of these long-term effects, not the initial acute injury.

• Always sequence the sequela code first, followed by a code for the specific residual condition (e.g., chronic pain, fracture nonunion).
• Ensure documentation clearly links the current condition to the past fall through the floor.
• This code is for sequelae only; do not use for the initial acute injury or subsequent encounters for routine healing of the initial injury.