Late effect of sprain and strain without mention of tendon injury

This code represents persistent or chronic symptoms, functional limitations, or structural changes that occur as a direct consequence of a previous sprain or strain injury, excluding those involving tendon damage. It signifies a long-term sequela rather than an acute injury.

Use this code when documentation clearly indicates a patient is experiencing ongoing issues (e.g., chronic pain, instability, limited range of motion) directly attributable to a past sprain or strain. The medical record must specify that the original injury has resolved but its effects persist, and there is no mention of a tendon injury as the cause of the late effect.

• Always sequence this code after the code identifying the specific nature of the late effect (e.g., chronic pain, joint stiffness).
• Ensure documentation differentiates between a late effect and a recurrent or chronic acute injury.
• Do not use if the late effect is due to a tendon injury; refer to codes within the 905.6 category.