Superficial foreign body of breast, unsp breast, sequela

This code indicates a superficial foreign object embedded in the breast tissue, where the specific breast (left or right) is not documented. The "S" at the end signifies that this encounter is for the sequela (late effects) of the initial injury, meaning the patient is presenting for complications or long-term effects of the foreign body, not the initial injury itself.

Apply this code when a patient presents for follow-up care or treatment of a complication directly resulting from a superficial foreign body in an unspecified breast, and the foreign body is no longer acutely present or the initial injury has healed. Examples include chronic pain, infection, or scar tissue formation related to the past foreign body.

• Only use this code for sequela encounters; for initial treatment of the foreign body, use an acute injury code.
• Ensure documentation clearly states the encounter is for late effects and that the specific breast is not identified.
• Pair with an external cause code (V00-Y99) to describe the circumstances of the original injury, if known and relevant.