Stress fracture, unspecified shoulder, sequela

This code signifies a stress fracture of an unspecified shoulder joint that is now a sequela, meaning it represents a residual condition or complication after the acute phase of the fracture has resolved. It indicates a long-term effect or consequence of a previously sustained stress fracture in the shoulder region.

Apply this code when documentation clearly indicates a patient is presenting for treatment or evaluation of a chronic condition or late effect directly resulting from a past stress fracture of the shoulder, and the specific shoulder (left or right) is not documented. This code is appropriate when the acute injury has healed, but ongoing issues related to it persist.

• Ensure documentation explicitly states "sequela" or "late effect" of a stress fracture.
• Do not use for acute or initial encounters for a stress fracture; those require codes from the M84.31- series without the "S" seventh character.
• If the specific shoulder is known, use a more precise code from M84.311S (right) or M84.312S (left).