Major contusion of spleen, sequela

This code signifies a major bruise or crush injury to the spleen that has resulted in a long-term complication or residual effect. It indicates that the initial traumatic event has passed, and the patient is now experiencing a consequence directly attributable to that past splenic contusion.

Use this code when documenting a patient presenting with a chronic issue, such as persistent pain, functional impairment, or other sequelae, that is directly linked to a previously sustained major contusion of the spleen. This applies to follow-up encounters occurring after the acute phase of the injury has resolved.

• Always assign an additional code to describe the specific nature of the sequela (e.g., chronic pain, splenic cyst).
• Ensure documentation clearly links the current condition to the past major splenic contusion.
• Do not use this code for the initial acute injury; use the appropriate acute contusion code for the initial encounter.