Dislocation of unspecified scapula, sequela

This code indicates a long-term complication or residual effect stemming from a past dislocation of an unspecified shoulder blade. It signifies that the initial injury has healed, but the patient continues to experience issues directly attributable to that prior dislocation.

Apply this code when documenting a patient presenting with chronic pain, instability, limited range of motion, or other persistent problems in the shoulder region, and the medical record clearly links these issues to a previously sustained, but now resolved, scapular dislocation. This code is appropriate for follow-up encounters addressing these lasting effects, not the initial injury itself.

• Always use this code as a secondary diagnosis, following a code for the specific current condition (e.g., chronic pain, instability).
• Ensure documentation explicitly states the current condition is a "sequela of" or "due to prior" scapular dislocation.
• Confirm the laterality of the scapula was not specified in the original injury documentation if using this "unspecified" laterality code.