Laceration of muscle, fascia and tendon of pelvis, sequela

This code signifies a long-term or late-effect complication resulting from a previous injury involving a tear or cut to the muscle, fascia, and/or tendon structures within the pelvic region. It indicates that the initial injury has healed, but the patient is now experiencing residual problems directly attributable to that past laceration.

Apply this code when documenting conditions such as chronic pain, weakness, restricted range of motion, or functional impairment in the pelvis that are a direct consequence of a previously sustained laceration to the muscles, fascia, or tendons in that area. This is appropriate when the acute phase of the original injury has passed, and the current encounter addresses these lasting effects.

• Always use this code as a secondary diagnosis, following the code for the specific sequela being treated (e.g., chronic pain, muscle weakness).
• Ensure documentation clearly links the current condition to a past laceration of the pelvic muscle, fascia, or tendon.
• Do not use for acute lacerations; those require an acute injury code with an appropriate encounter character.