S21.439S
ICD-10-CMPuncture wound without foreign body of unspecified back wall of thorax with penetration into thoracic cavity, sequela
This code signifies a puncture wound to an unspecified area of the back wall of the thorax that has penetrated into the thoracic cavity. Importantly, the wound does not involve a foreign body and is being reported as a sequela, meaning it's a late effect or complication of an initial injury.
Apply this code for documentation of a healed or chronic puncture wound to the posterior thorax that previously penetrated the thoracic cavity, and the patient is now presenting for follow-up or treatment of a residual condition related to that past injury. This is appropriate when the initial acute injury has resolved, and the current encounter addresses a long-term consequence.
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