S46.301S
ICD-10-CMUnspecified injury of muscle, fascia and tendon of triceps, right arm, sequela
This code indicates a long-term effect or complication arising from an unspecified injury to the triceps muscle, its surrounding fascia, or its tendon in the right arm. The original injury's specific nature (e.g., strain, tear) is not documented or known. The "sequela" designation signifies that this code is used to report conditions that are residual effects of a past injury, not the acute injury itself.
This code is appropriate when a patient presents with a chronic or residual problem in the right triceps region, and the underlying cause was an injury to the muscle, fascia, or tendon, but the precise type of initial injury is not specified in the medical record. It should be used for follow-up encounters addressing the long-term consequences of such an injury.
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