Burn of second degree of unspecified forearm, sequela

This code signifies a second-degree burn affecting an unspecified forearm, indicating damage to the epidermis and dermis with blistering, pain, and swelling. The "S" seventh character denotes that this code is for a sequela, meaning it's used to report a complication or condition arising directly from the initial burn injury after the acute phase has passed.

Apply this code when documenting a long-term effect or residual condition stemming from a second-degree burn on either the left or right forearm, where the specific side is not documented. This would include scenarios like scar contractures, chronic pain, or persistent skin changes that are a direct result of the original burn injury.

• Ensure the medical record clearly indicates the burn is a second-degree injury and the affected area is the forearm, without specifying left or right.
• The "S" seventh character is crucial and indicates that the patient is being treated for a complication or late effect of the burn, not the initial acute injury.
• Always code the specific sequela (e.g., scar, contracture) first, followed by this code to indicate the cause of the sequela.