Personal history of oth (healed) physical injury and trauma

This code indicates a patient's past history of a physical injury or trauma that has since healed and is no longer an active problem. It signifies that the sequelae of the previous injury are no longer present or are not the primary reason for the current encounter.

This code is appropriate when a patient presents for a current medical issue, and their medical history includes a resolved physical injury or trauma that is not directly impacting the current condition. It can be used to document relevant past medical history, such as a healed fracture or a resolved burn, when the patient is not being treated for complications of that specific injury.

• Do not use this code for active injuries or for sequelae of past injuries that are still being treated or are causing current symptoms.
• Always code the current condition or reason for the encounter first, followed by this history code if relevant.
• Ensure the documentation clearly states the injury is "healed" or "resolved" and not causing ongoing issues.