4-part fracture of surgical neck of unsp humerus, sequela

This code signifies a past fracture involving four distinct fragments of the surgical neck of the humerus, where the specific side (left or right) is not documented. It indicates that the patient is now experiencing a complication or residual effect directly attributable to this previous injury, rather than the acute fracture itself.

This code is appropriate for encounters where a patient presents with a long-term consequence, such as chronic pain, limited range of motion, nonunion, malunion, or hardware complications, stemming from a previously sustained four-part surgical neck humerus fracture. It should be used after the initial healing phase of the acute fracture has passed.

• Always ensure documentation clearly links the current condition to the previous four-part surgical neck fracture.
• Do not use this code for the initial treatment of the acute fracture; instead, use an acute fracture code.
• Specify laterality (left or right) if documented to use a more precise code.