Subluxation of left scapula, sequela

This code indicates a partial dislocation of the left shoulder blade that is a residual effect of a previous injury or condition. The scapula is not fully dislocated from its normal articulation, but its position is altered, leading to ongoing symptoms or functional limitations.

Apply this code when documenting a patient presenting with chronic pain, instability, or restricted range of motion in the left shoulder, and the provider explicitly links these symptoms to a past subluxation of the scapula. This code is appropriate for follow-up encounters after the initial injury has healed, but its lasting effects persist.

• Ensure documentation clearly states "left scapula" and specifies "sequela" to support code assignment.
• Do not use this code for acute subluxations; instead, refer to the appropriate acute injury codes.
• Always review the patient's medical history to confirm the prior subluxation event.