Contusion of right breast, subsequent encounter

This code signifies a bruise or contusion affecting the right breast, indicating damage to the underlying soft tissues without a break in the skin. It specifically applies to an encounter following the initial treatment of the injury, where the patient is receiving follow-up care or continued management for the contusion.

Use this code for patients presenting for follow-up appointments, wound checks, or ongoing treatment of a right breast contusion after the initial injury has been assessed and treated. Documentation should clearly indicate that this is not the first encounter for this specific injury and detail the continued management or monitoring of the contusion.

• Ensure documentation specifies "right breast" and confirms the encounter is for subsequent care, not the initial injury.
• Distinguish from S20.01XA (initial encounter) and S20.01XS (sequela) based on the patient's stage of care for the injury.
• Always review the entire medical record to confirm the laterality and the appropriate encounter type.