Inj musc/fasc/tend at shldr/up arm, unsp arm, init

Other injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, initial encounter

📋Clinical Description

This code signifies an injury to a muscle, fascia, or tendon in the shoulder or upper arm region that is not specifically categorized elsewhere. The exact muscle, fascia, or tendon involved is not identified, and the laterality (left or right arm) is also unspecified. This represents the initial treatment for such an injury.

🎯When to Use

Apply this code when documentation indicates a general injury to soft tissues (muscles, fascia, tendons) of the shoulder or upper arm, but lacks specificity regarding the exact structure or side affected. This is appropriate for initial encounters where the diagnosis is still broad or awaiting further diagnostic clarification.

💡Coding Tips

Ensure the documentation explicitly states "unspecified arm" or lacks laterality to justify the 9th character.
Avoid using this code if a more specific muscle, fascia, or tendon injury is documented; always strive for the highest level of specificity.
Remember the "A" suffix indicates an initial encounter for active treatment of the injury.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S46.899Inj musc/fasc/tend at shoulder and upper arm level, unsp arm

S46.899A(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