Fx unsp part of scapula, r shoulder, subs for fx w malunion

This code signifies a right shoulder blade fracture that has healed improperly, resulting in a deformity or functional impairment, and the patient is presenting for follow-up care related to this malunion. The specific location of the fracture on the scapula was not documented or is unknown.

Apply this code when a patient with a previously diagnosed right scapular fracture presents for evaluation or treatment of a malunion. This includes scenarios where the malunion is causing ongoing pain, limited range of motion, or other complications requiring medical attention.

• Ensure documentation clearly states "malunion" and specifies the right shoulder.
• This code is for subsequent encounters; an initial encounter for the malunion would use a different seventh character.
• Always review the medical record for laterality and the specific type of encounter.