Fx unsp part of scapula, unsp shldr, subs for fx w malunion

This code signifies a fracture of the shoulder blade, where the specific location on the scapula and the affected shoulder are not documented. It is used when a patient is receiving follow-up care for a previously diagnosed scapular fracture that has healed improperly, resulting in a malunion.

Apply this code when a patient presents for evaluation or treatment of a scapular fracture that has united in an abnormal position, and the initial injury occurred on an unspecified side and at an unspecified part of the scapula. This would be appropriate for subsequent visits after the initial treatment of the fracture, focusing on the complications of malunion.

• Ensure documentation clearly indicates a malunion as the reason for the subsequent encounter.
• Only use this code when the specific location of the scapular fracture and the affected shoulder are not specified in the medical record.
• Verify that this is not an initial encounter for the fracture or a subsequent encounter for routine healing without complications.