Unspecified open wound of right shoulder, sequela

This code signifies a long-term complication or late effect stemming from an open wound on the right shoulder, where the specific nature of the wound (e.g., laceration, puncture) was not documented at the time of the initial injury. It indicates that the patient is now presenting for treatment of issues directly related to that past injury.

Use this code when a patient presents with a current condition or symptom that is a direct consequence of a previously sustained, unspecified open wound to the right shoulder. This typically applies to follow-up encounters for scar tissue, chronic pain, or functional limitations resulting from the original injury, long after the acute phase has passed.

• Always sequence the sequela code first, followed by a code for the specific manifestation of the sequela (e.g., scar, chronic pain).
• Ensure documentation clearly links the current condition to a past open wound of the right shoulder.
• Avoid using this code for acute or active open wounds; those require codes from the acute injury section.