S45.109D
ICD-10-CMUnspecified injury of brachial artery, unspecified side, subsequent encounter
This code signifies a follow-up encounter for an injury to the brachial artery, the major blood vessel in the upper arm, where the specific nature of the injury (e.g., laceration, contusion) and the affected side (left or right) are not documented. It indicates that the patient is receiving continued care for this previously diagnosed but unspecified vascular trauma.
Use this code for subsequent visits when a patient is being treated for a brachial artery injury, and the initial documentation did not specify the type of injury or the laterality. This applies to scenarios such as wound checks, medication adjustments, or physical therapy following an initial diagnosis where further detail was not provided or was not relevant to the current encounter.
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