I work at an orthopedic specialist facility and came across a patient who re-ruptured her Achilles and came in for a re-repair. It looks like we are using the CPT code 27650 and the ICD 10 is T81.32x. However, I’m not sure which 7th character to use? Do we treat this as a initial care (since it was re-injured two months ago), as subsequent care from her previous injury, or as a sequela?

Thank you for your help in advance!