Partial traumatic amputation of unspecified breast, sequela

This code describes the long-term effects or complications resulting from a partial traumatic amputation of an unspecified breast. It indicates that the initial injury has healed, but the patient continues to experience residual issues related to the loss of breast tissue due to trauma.

Use this code for follow-up encounters when a patient presents with ongoing problems, such as scarring, pain, or functional limitations, directly attributable to a past partial traumatic breast amputation. This code is appropriate for documenting the sequelae after the acute phase of the injury has passed.

• Always assign a sequela code as a secondary diagnosis, with the primary diagnosis reflecting the current condition being treated.
• Ensure documentation clearly links the current symptoms or condition to the previous partial traumatic amputation.
• Verify that the amputation was indeed partial and traumatic, and that the specific breast (left or right) was not documented.