Disp fx of lesser tuberosity of unspecified humerus, sequela

This code signifies a past injury to the lesser tuberosity of the humerus, which is a small bony prominence on the upper arm bone near the shoulder joint. The fracture was displaced, meaning the bone fragments were out of alignment, and the code indicates that the patient is now experiencing a long-term complication or residual effect from this previous injury.

Apply this code when documenting a patient presenting with a current condition or symptom that is a direct consequence of a previously sustained, displaced fracture of the lesser tuberosity of the humerus. This includes chronic pain, limited range of motion, instability, or other ongoing issues directly attributable to the old fracture.

• Always use this code as a secondary diagnosis, following the code for the specific sequela being treated (e.g., M25.51_ for shoulder pain).
• Ensure documentation clearly links the current condition to the old fracture and specifies "sequela" or "due to old fracture."
• Verify that the laterality of the humerus (left or right) is not specified in the medical record; if it is, a more specific code should be used.