Stress fracture, left shoulder, subs for fx w routn heal

This code signifies a stress fracture affecting the left shoulder, indicating a break in the bone due to repetitive stress rather than a single traumatic event. The "D" seventh character specifies that the patient is currently receiving routine care during the healing phase of the fracture.

Apply this code when a patient presents for follow-up care of a previously diagnosed left shoulder stress fracture that is healing as expected. Documentation should clearly state "stress fracture," specify the "left shoulder," and indicate a "subsequent encounter" with "routine healing."

• Ensure the documentation explicitly states "stress fracture" to differentiate from acute traumatic fractures.
• Verify the laterality (left shoulder) is clearly documented.
• The "D" seventh character is appropriate for follow-up care during the healing phase; use "A" for initial encounters and "S" for sequelae.