Nondisplaced fracture of shaft of right clavicle, sequela

This code describes a past injury involving a break in the middle portion of the right collarbone that has since healed, but is still causing ongoing problems or conditions. The fracture itself was not significantly out of alignment at the time of injury. The "sequela" indicates that the patient is experiencing a residual effect directly attributable to this old injury.

This code is appropriate when a patient presents with a current condition, such as chronic pain, limited range of motion, nonunion, or malunion, that is a direct consequence of a previously sustained, nondisplaced fracture of the shaft of their right clavicle. It should be used for encounters where the focus is on treating or evaluating these long-term effects, not the initial acute injury.

• Always assign an additional code to specify the nature of the sequela (e.g., chronic pain, malunion, nonunion).
• This "S" seventh character indicates sequela, meaning the acute phase of the injury has passed.
• Ensure documentation clearly links the current condition to the old clavicle fracture.