Medial disloc of proximal end of tibia, unsp knee, sequela

This code describes a long-term complication or residual effect stemming from a prior medial dislocation of the proximal tibia. It indicates that the patient is experiencing ongoing issues related to the previous injury, rather than the acute dislocation itself. The specific knee involved is not documented.

Apply this code when documenting conditions such as chronic instability, persistent pain, degenerative changes, or functional limitations that are directly attributable to a past medial dislocation of the proximal tibia. This is appropriate for follow-up encounters after the initial injury has been treated and the patient is no longer in the acute phase of care.

• Ensure documentation clearly links the current condition to a previous medial proximal tibia dislocation.
• The "S" seventh character indicates sequela, meaning it's used for complications or conditions arising after the acute phase of an injury.
• Do not use this code for the initial or acute dislocation; instead, use an appropriate acute injury code.