Moderate laceration of tail of pancreas, sequela

This code signifies a long-term complication or residual effect stemming from a moderately severe laceration to the tail of the pancreas. It indicates that the initial injury has healed, but the patient continues to experience ongoing issues directly attributable to that past trauma.

Apply this code when documenting follow-up care for a patient who previously sustained a moderate laceration of the pancreatic tail and is now presenting with a chronic condition or symptom directly resulting from that injury. This includes scenarios like chronic pancreatitis, pseudocyst formation, or endocrine insufficiency that developed as a consequence of the original trauma.

• Always use this code as a secondary diagnosis, following the code for the specific sequela being treated.
• Ensure documentation clearly links the current condition to the historical pancreatic injury.
• Do not use for initial injury or active treatment of the acute laceration.