Strain of musc/fasc/tend long hd bicep, unsp arm, sequela

This code signifies a chronic or residual condition resulting from a past injury to the long head of the biceps muscle, its fascia, or its tendon. It indicates that the patient is experiencing ongoing symptoms or limitations directly attributable to a previous strain in this specific area, without specifying which arm is affected.

Apply this code when documentation clearly states a "sequela," "late effect," or "residual" of a long head of biceps strain. This is appropriate for patients presenting with persistent pain, weakness, or restricted range of motion months or years after the initial acute injury has resolved. It should be used when the specific arm (left or right) is not documented.

• Requires a seventh character "S" to denote sequela.
• Always query for laterality (left or right arm) if not specified in the documentation.
• Do not use for acute or subacute strains; those require different seventh characters.