Unsp subluxation of unspecified shoulder joint, sequela

This code signifies a partial dislocation of the shoulder joint, where the humeral head has slipped out of the glenoid fossa but remains in contact, and the specific shoulder (left or right) is not documented. The "sequela" seventh character indicates that this subluxation is a late effect or complication of a previous injury or condition, not an acute event.

This code is appropriate when a patient presents with a chronic or residual partial shoulder dislocation, and the medical record does not specify which shoulder is affected. It should be used when the subluxation is clearly documented as a long-term consequence of an earlier injury or disease, and the acute phase of the original injury has passed.

• Only use this code when the documentation explicitly states "unspecified shoulder" and "sequela."
• Prioritize more specific codes if the laterality (left or right) of the shoulder is known.
• Ensure the medical record supports the "sequela" designation, indicating a chronic or late effect.