Burn of first degree of left shoulder, sequela

This code signifies a healed first-degree burn on the patient's left shoulder, indicating that the acute injury has resolved and any lasting effects or complications are being addressed. A first-degree burn involves only the epidermis, causing redness and pain without blistering. The "sequela" designation means this code is used for complications or conditions arising as a direct result of the initial burn, even if the burn itself is no longer active.

Use this code when documenting follow-up care for a patient who previously sustained a first-degree burn to the left shoulder, and the current encounter addresses a residual effect or complication directly attributable to that past burn. This could include issues like scarring, persistent discomfort, or other long-term sequelae. Do not use this code for the initial acute burn treatment.

• Ensure the documentation clearly links the current condition to a past first-degree burn of the left shoulder.
• Always code the specific sequela (e.g., scar, chronic pain) in addition to this sequela code.
• Verify the burn depth (first-degree) and anatomical site (left shoulder) are accurately documented to support this specific code.