Strain of musc/fasc/tend triceps, unsp arm, sequela

This code describes a chronic or late effect of an injury to the triceps muscle, its surrounding fascia, or its tendon, in an unspecified arm. It indicates that the initial strain has resolved, but the patient continues to experience residual symptoms or complications directly attributable to the original injury.

Apply this code when documentation clearly states a patient is presenting for treatment of a sequela (e.g., chronic pain, weakness, limited range of motion, scar tissue formation) resulting from a previously sustained triceps strain. This code is appropriate when the acute phase of the injury has passed, and the current encounter addresses the long-term consequences.

• Always sequence this sequela code first, followed by any additional codes for the specific residual condition(s) being treated.
• Ensure the medical record explicitly links the current symptoms to a past triceps strain.
• Do not use for acute or subacute triceps strains; those require codes from the initial or subsequent encounter categories.