Lacerat abd wall w fb, r upper q w/o penet perit cav, sqla

This code signifies a healed or residual effect of a laceration to the right upper quadrant of the abdominal wall, where a foreign body was present, and the injury did not extend into the peritoneal cavity. It indicates a past injury that is no longer acute but still has clinical relevance, such as scarring, pain, or functional impairment.

Apply this code when documenting follow-up care for a patient who previously sustained a right upper quadrant abdominal wall laceration with a foreign body, and the current encounter addresses a long-term complication or sequela of that injury. This could include chronic pain at the site, scar tissue issues, or other persistent effects after the initial wound has closed.

• Ensure the documentation clearly states the injury is a sequela, not an acute event.
• Verify the laceration was specifically in the right upper quadrant and did not penetrate the peritoneal cavity.
• Code any current, active conditions or complications related to the sequela in addition to this code.