Abrasion of unspecified shoulder, initial encounter

This code signifies a superficial injury to the skin of the shoulder, characterized by scraping or rubbing off of the epidermis, without specifying which shoulder is affected. It indicates that the patient is receiving initial active treatment for this abrasion.

This code is appropriate for documenting an abrasion on either the right or left shoulder when the specific side is not documented or is unknown. It should be used for the initial visit or encounter where the patient presents for treatment of this injury.

• Only use this code when the laterality of the shoulder abrasion is truly unspecified in the medical record.
• Ensure the documentation clearly indicates this is the initial encounter for treatment of the abrasion.
• Do not use for open wounds that extend beyond the epidermis; consider more specific codes for lacerations or punctures.