Unsp superficial injury of unspecified shoulder, sequela

This code signifies a long-term consequence or complication arising from a superficial injury to the shoulder, where the specific nature of the injury (e.g., abrasion, contusion) and the exact shoulder involved (left or right) are not documented. It indicates that the initial injury has resolved, but residual effects persist.

Use this code when a patient presents with a current condition or symptom that is a direct result of a superficial shoulder injury that occurred in the past, and the original injury details are vague or unknown. This applies when the sequela itself is being treated, rather than the acute injury.

• Ensure the documentation clearly links the current condition to a past superficial shoulder injury.
• Only use this code when a more specific superficial injury code (e.g., contusion, abrasion) and laterality are unavailable.
• Always look for opportunities to code to a higher level of specificity if more information becomes available.