Puncture wound w/o foreign body of left shoulder, sequela

This code signifies a past injury to the left shoulder caused by a sharp object penetrating the skin, where no foreign material was retained in the wound. The "sequela" aspect indicates that the patient is experiencing a late effect or complication directly resulting from that previous puncture wound.

Apply this code when documenting conditions such as chronic pain, scar tissue, limited range of motion, or nerve damage in the left shoulder that are directly attributable to a prior puncture wound. This is used when the initial acute injury has healed, but its lasting effects are being treated or evaluated.

• Always ensure documentation clearly links the current condition to the previous puncture wound.
• Do not use this code for acute puncture wounds; those require an initial encounter or subsequent encounter code.
• Consider additional codes for specific sequelae, such as chronic pain (G89.29) or scar contracture (L90.5), if applicable and documented.