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Initial vs subsequent vs sequela

If a patient was treated in a nearby ER or Hospital for a bone fracture, and then comes to an internal medicine office as an established patient to be treated for the bone fracture, is the fracture treatment/evaluation considered an initial or subsequent visit to the internal medicine office? In other words, is it initial or subsequent if it is the first time patient is in the office for the bone fracture that was diagnosed and evaluated at the nearby ER?
Sequela is late effects so how many months/years need to go by when a subsequent visit/illness becomes a sequela?
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