Unsp fracture of upper end of unspecified humerus, sequela

This code signifies a long-term complication or residual effect stemming from a fracture of the upper portion of the humerus, where the specific type of fracture (e.g., surgical neck, anatomical neck) is not documented. It indicates that the initial injury has healed, but the patient continues to experience issues directly attributable to that past fracture.

Apply this code when a patient presents with a sequela (e.g., chronic pain, limited range of motion, nonunion, malunion) directly related to a previously sustained, but now healed, unspecified fracture of the proximal humerus. This is appropriate when the acute phase of the fracture has passed, and the current encounter addresses the lasting consequences.

• Always use a seventh character "S" for sequela when coding for residual effects of a past injury.
• Ensure documentation clearly links the current condition to a prior unspecified proximal humerus fracture.
• Avoid using this code for acute or subacute fractures; those require different seventh characters.