Shotgun discharge, undetermined intent, sequela

This code signifies a long-term health condition or complication arising from a shotgun injury where the intent (accidental, self-harm, or assault) could not be determined at the time of the initial injury. It indicates that the acute phase of the injury has passed, and the patient is now experiencing residual effects.

Apply this code for follow-up encounters or when documenting chronic conditions directly attributable to a past shotgun discharge of undetermined intent. This includes situations where a patient presents with ongoing pain, functional impairment, scarring, or other sequelae from such an event.

• Always assign an additional code(s) to specify the nature of the sequela (e.g., pain, scar, nonunion fracture).
• Ensure documentation clearly states the undetermined intent of the original injury.
• Do not use for initial encounters or acute injuries; this code is exclusively for sequelae.