Subluxation of unspecified scapula, sequela

This code signifies a partial dislocation of the shoulder blade (scapula) that occurred in the past, and the patient is now presenting with a residual condition or late effect directly attributable to that prior injury. It indicates that the specific side (left or right) of the scapula affected is not documented.

This code is appropriate when a patient presents with a chronic issue, pain, or functional limitation that is a direct consequence of a previously sustained scapular subluxation. It should be used when the medical record clearly links the current condition to an old injury, and the laterality of the original injury is not specified.

• Always assign an additional code to describe the specific sequela or residual condition being treated.
• Ensure documentation clearly states the current condition is a "late effect" or "sequela" of a prior scapular subluxation.
• Avoid using this code for acute or current subluxations; those require different codes.