Unspecified open wound of left breast, sequela

This code indicates a long-term or late effect of an open wound to the left breast where the specific nature of the wound (e.g., laceration, puncture) was not documented. It signifies that the original injury has healed, but residual issues or complications related to that wound are now being addressed.

Use this code when documenting a patient encounter for a condition that is a direct consequence of a previously sustained, unspecified open wound of the left breast. This applies when the initial injury has resolved, but the patient presents with sequelae such as scarring, chronic pain, or functional limitations directly attributable to that past wound.

• Always sequence this sequela code first, followed by a code describing the specific nature of the sequela (e.g., scar, chronic pain).
• Ensure documentation clearly links the current condition to a past unspecified open wound of the left breast.
• Do not use for acute open wounds; those require codes from the acute injury section.