Contusion of left breast, initial encounter

This code signifies a bruise or contusion affecting the left breast. It indicates damage to the underlying soft tissues, such as muscle, fat, and blood vessels, without an open wound, resulting from blunt force trauma.

Apply this code when documentation clearly states a contusion of the left breast, such as from a fall, impact, or sports injury. Supporting documentation should include the location (left breast), the nature of the injury (contusion/bruise), and confirm this is the initial encounter for treatment of this specific injury.

• Ensure laterality is explicitly documented (left breast).
• Verify the encounter is truly the "initial encounter" for this specific injury; subsequent care would use a different seventh character.
• Distinguish from superficial injuries like abrasions or open wounds, which have different code assignments.