There is some debate about aftercare coding. For an example let's say a patient has a traumatic fracture, ORIF is performed, and now the patient comes back to the clinic 6 months later for a follow up visit. Some say the S codes should no longer be used even with a D for the 7th character because they're only for acute traumatic fractures, and at this point 6 months out if it's still not healed it's becoming a chronic issue. One person says to use Z09 only, but it's not acceptable as a primary diagnosis. How does everyone else code this type of thing?