Puncture wound with foreign body of right buttock, sequela

This code signifies a long-term complication or late effect resulting from a puncture wound to the right buttock that involved a foreign body. It indicates that the initial injury has healed, but the patient is now experiencing residual issues directly attributable to that past event.

Apply this code when documenting conditions such as chronic pain, nerve damage, scar tissue complications, or persistent infection that are a direct consequence of a previously sustained puncture wound with a foreign body in the right buttock. This is used after the initial acute phase of the injury has passed and the patient is presenting for treatment of these lasting effects.

• Always sequence this sequela code first, followed by a code for the specific residual condition being treated (e.g., chronic pain, scar contracture).
• Ensure documentation clearly links the current condition to the historical puncture wound with foreign body.
• Do not use this code for the initial encounter or active treatment of the acute puncture wound; use an acute injury code for those scenarios.