Abrasion of breast, left breast, sequela

This code indicates a superficial injury to the left breast, characterized by a scrape or rub that has removed the outermost layer of skin. It specifically denotes that this abrasion is a long-term effect or complication of an initial injury, rather than the initial injury itself. The skin integrity has been compromised, but the injury does not extend through the full thickness of the skin.

Use this code when documenting a current clinical encounter where a patient presents with a sequela (late effect) of a previously sustained abrasion to the left breast. This applies to situations where the original abrasion has healed, but there are ongoing symptoms or complications directly attributable to that past injury. Examples include persistent scarring, dyspigmentation, or chronic pain at the site of the old abrasion.

• Ensure documentation clearly links the current condition to a past abrasion of the left breast.
• Do not use for acute abrasions; a separate code for the initial injury would be used at the time of the original event.
• Always assign an external cause code (V00-Y99) to describe the circumstances of the original abrasion, if known and applicable.