Dislocation of left scapula, subsequent encounter

This code signifies a dislocation of the left shoulder blade, indicating that the scapula has been displaced from its normal anatomical position. It specifically applies to a patient who is receiving follow-up care for this injury after the initial treatment.

Use this code for patients presenting for cast changes, physical therapy, medication management, or other ongoing treatment related to a previously diagnosed and treated left scapular dislocation. This includes situations where the patient is recovering from the initial injury or experiencing complications during the healing process.

• Ensure documentation clearly specifies the left side and that the encounter is not for the initial treatment of the dislocation.
• Verify laterality (left) is explicitly stated in the medical record to support this specific code.
• Pair with an external cause code (V00-Y99) if the cause of the original dislocation is relevant and documented.