Puncture wound without foreign body of right breast, sequela

This code signifies a past puncture injury to the right breast that did not involve a retained foreign object, and the patient is now presenting for treatment of a residual effect or complication from that previous wound. This could include issues like scarring, chronic pain, or nerve damage resulting from the initial puncture.

Apply this code when a patient is seen for a current problem directly attributable to a previously sustained puncture wound of the right breast, where the original injury did not involve a foreign body. This is appropriate for follow-up care or management of long-term sequelae after the initial acute phase of the injury has passed.

• Ensure documentation clearly links the current condition to the previous right breast puncture wound.
• Do not use this code for the initial encounter of an acute puncture wound; use an acute injury code instead.
• Always sequence this sequela code first, followed by codes for the specific residual condition(s) being treated.