Unspecified sprain of left shoulder joint, sequela

This code signifies a long-term or residual effect stemming from a previous sprain of the left shoulder joint, where the specific ligament or structure involved in the original injury is not documented. It indicates that the patient is experiencing ongoing issues directly attributable to that past sprain.

Apply this code when a patient presents with chronic pain, instability, reduced range of motion, or other persistent symptoms in the left shoulder, and the medical record clearly links these symptoms to a prior, unspecified sprain of that joint. This code is appropriate when the initial acute injury has resolved, but its lasting consequences are being addressed.

• Requires a seventh character of "S" to indicate sequela, meaning the patient is being treated for the residual effects of a past injury.
• Ensure documentation explicitly states the current condition is a direct result of a previous left shoulder sprain, and the specific ligament involved was not identified.
• Do not use for acute or initial sprains; those require an "A" (initial encounter) or "D" (subsequent encounter) seventh character.