Puncture wound without foreign body of right hand, sequela

This code indicates a puncture wound to the right hand where no foreign object remains embedded, and the encounter is for the late effects or complications of the initial injury. It signifies that the acute phase of the injury has passed, and the patient is now being treated for residual problems such as scarring, nerve damage, or chronic pain resulting from the original puncture.

Use this code when documenting follow-up care for a patient who previously sustained a puncture wound to the right hand, and the current visit addresses a sequela of that injury. Examples include treatment for a keloid scar that formed at the puncture site, ongoing physical therapy for limited range of motion, or management of chronic neuropathic pain directly attributable to the past wound.

• Always assign an external cause code (V00-Y99) to describe the circumstances of the original injury, if known and applicable.
• Ensure documentation clearly links the current condition as a direct consequence (sequela) of the prior puncture wound.
• Do not use this code for initial treatment of an acute puncture wound; instead, use the appropriate acute injury code.