Strain of musc/fasc/tend at shldr/up arm, left arm, subs

Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, subsequent encounter

📋Clinical Description

This code signifies a non-traumatic overstretching or tearing of muscles, fascia, or tendons in the left shoulder or upper arm, excluding the rotator cuff, biceps, or triceps. This injury is less severe than a rupture and typically involves microscopic tears rather than a complete separation of the tissue.

🎯When to Use

Apply this code for follow-up encounters where a patient is receiving active treatment for a left shoulder or upper arm strain of muscles, fascia, or tendons not specified elsewhere. This includes scenarios such as physical therapy, medication management, or re-evaluation during the healing phase after the initial injury.

💡Coding Tips

Ensure the documentation specifies the left arm and that the encounter is subsequent to the initial injury.
Verify that the strain involves "other" muscles, fascia, or tendons, meaning it's not a rotator cuff, biceps, or triceps strain.
Confirm the injury is a strain (overstretching/tear) and not a rupture, which would require a different code.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S46.812Strain of musc/fasc/tend at shldr/up arm, left arm

S46.812D(current)

Crosswalks

V58.89ApproxICD-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