Partial traum amp of right shldr/up arm, level unsp, subs

This code signifies a partial traumatic loss of the right shoulder and/or upper arm, where the precise level of amputation is not documented. It indicates that the patient is receiving follow-up care for this injury, such as wound care, rehabilitation, or management of complications. The injury was caused by trauma, not a surgical procedure.

Apply this code when a patient presents for ongoing treatment of a previously sustained, incomplete traumatic amputation of their right shoulder or upper arm. This includes visits for dressing changes, physical therapy, or evaluation of healing progress after the initial acute care phase. It is appropriate when the medical record does not specify the exact anatomical level of the partial amputation.

• Ensure documentation clearly states "partial" or "incomplete" amputation and specifies the right side.
• Confirm the encounter is for subsequent care, not the initial treatment of the injury.
• Only use when the specific level of the shoulder/upper arm amputation is not documented by the provider.