Complete traum amp at level betw r shldr and elbow, sequela

This code describes the long-term effects or complications arising from a complete traumatic amputation of the right upper limb, specifically occurring between the shoulder and the elbow joint. It indicates that the initial injury has healed, but the patient is now experiencing residual conditions directly related to that amputation.

Use this code when documenting follow-up care for a patient who previously sustained a complete traumatic amputation of the right upper arm and is now presenting with sequelae such as phantom limb pain, stump complications (e.g., neuroma, infection, skin breakdown), or functional limitations directly attributable to the amputation. This code is appropriate for chronic conditions or late effects of the original injury.

• Always assign this code as a secondary diagnosis, following the code for the specific sequela being treated (e.g., G54.6 for phantom limb syndrome).
• Ensure documentation clearly links the current condition to the previous traumatic amputation.
• Do not use this code for the initial injury or acute phase of treatment; it is exclusively for sequelae.