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

Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, initial encounter

📋Clinical Description

This code signifies a tear or cut in an unspecified muscle, fascia, or tendon located in the shoulder or upper arm region. The specific arm (left or right) is not documented, and the injury is being treated for the first time.

🎯When to Use

This code is appropriate when a patient presents with a laceration to the soft tissues of the shoulder or upper arm, but the medical record does not specify the exact muscle, fascia, or tendon involved, nor does it indicate laterality. It is used for the initial treatment of such an injury.

💡Coding Tips

Only use this code when the documentation explicitly lacks specificity regarding the affected muscle/fascia/tendon and laterality.
Ensure the encounter is truly "initial" for this specific injury; subsequent care would require a different seventh character.
Always query the provider for more specific anatomical detail and laterality if available to allow for a more precise code.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S46.929Laceration of unsp musc/fasc/tend at shldr/up arm, unsp arm

S46.929A(current)

Crosswalks

880.201-to-manyICD-9 880.291-to-manyICD-9 880.20ApproxICD-9 880.221-to-manyICD-9 880.211-to-manyICD-9 880.231-to-manyICD-9