Puncture wound with foreign body of left shoulder, sequela

This code describes a long-term complication or late effect resulting from a puncture wound to the left shoulder that involved a foreign body. It indicates that the initial injury has healed, but the patient is now experiencing residual problems directly attributable to that past trauma.

Apply this code when documenting conditions like chronic pain, nerve damage, restricted range of motion, or persistent infection that are sequelae of a previously treated puncture wound with a foreign body in the left shoulder. This code is appropriate for encounters where the initial injury is no longer acute but its lasting effects are being addressed.

• Always sequence this sequela code first, followed by codes for the specific manifestation(s) of the sequela (e.g., chronic pain, scar formation).
• Ensure documentation clearly links the current condition to the previous puncture wound with a foreign body.
• Do not use this code for the initial acute injury or for subsequent encounters addressing acute complications of the initial injury.