Lacerat musc/fasc/tend at shldr/up arm, right arm, subs

This code signifies a tear or cut in muscles, fascia, or tendons located in the right shoulder or upper arm region, excluding the rotator cuff, biceps, and triceps. It indicates that the patient is receiving follow-up care for an injury that has already been initially treated.

Apply this code when a patient presents for ongoing treatment, such as wound care, physical therapy, or follow-up appointments, for a laceration to muscles, fascia, or tendons in the right shoulder or upper arm. This includes situations where the initial repair has been performed and the patient is in the healing phase.

• Ensure documentation specifies "right arm" and "subsequent encounter" for accurate code assignment.
• Verify that the laceration involves muscles, fascia, or tendons other than the rotator cuff, biceps, or triceps.
• Do not use for initial treatment of the injury; use the appropriate "initial encounter" code for that phase of care.