Contusion of unspecified shoulder, subsequent encounter

This code signifies a bruise to the shoulder area where the specific side (left or right) is not documented. It indicates that the patient is receiving follow-up care for this injury after the initial treatment phase.

Apply this code when a patient presents for ongoing management, such as physical therapy, re-evaluation, or medication refills, for an unspecified shoulder contusion. This is appropriate when the initial injury has already been assessed and treated, and the encounter is for continued care.

• Ensure documentation clearly states "unspecified shoulder" and that the encounter is subsequent.
• Do not use for initial injury assessment or treatment; a different 7th character (A) would be appropriate for that.
• Verify that the medical record lacks laterality (left or right) for the shoulder contusion.