Unsp injury of musc/fasc/tend triceps, unsp arm, init

Unspecified injury of muscle, fascia and tendon of triceps, unspecified arm, initial encounter

📋Clinical Description

This code signifies an injury to the triceps muscle, its surrounding fascia, or its tendon, where the specific nature of the injury (e.g., strain, tear) is not documented. The affected arm is also not specified, and this code is used for the initial treatment of the injury.

🎯When to Use

This code is appropriate when a patient presents with triceps pain or dysfunction following an acute event, but diagnostic imaging or clinical examination has not yet definitively identified the type or extent of the muscle, fascia, or tendon damage. It is used for the first encounter related to this injury before more specific details are known.

💡Coding Tips

Only use for the initial encounter; subsequent encounters will require a different seventh character.
Avoid this code if the specific type of triceps injury (e.g., strain, tear) or the affected arm (left/right) is documented.
Always strive for greater specificity if available in the medical record to ensure accurate coding.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S46.309Unsp injury of musc/fasc/tend triceps, unsp arm

S46.309A(current)

Crosswalks

959.2ApproxICD-9

Same Category

S46Injury of muscle, fascia and tendon at shldr/up arm S46.0Injury of musc/tend the rotator cuff of shoulder S46.00Unsp injury of musc/tend the rotator cuff of shoulder S46.001Unsp injury of musc/tend the rotator cuff of right shoulder S46.001A