Strain of musc/fasc/tend at wrs/hnd lv, right hand, subs

This code signifies a muscle, fascia, or tendon strain in the right wrist or hand, excluding those specifically categorized elsewhere. It indicates that the patient is receiving follow-up care for an injury that occurred previously. This could involve conditions like a strained flexor or extensor tendon in the right hand or wrist.

Apply this code when a patient presents for ongoing treatment, rehabilitation, or evaluation of a previously diagnosed strain of an unspecified muscle, fascia, or tendon in their right wrist or hand. This includes scenarios such as physical therapy sessions, follow-up orthopedic appointments, or medication adjustments for the healing injury.

• Ensure documentation clearly specifies the right hand/wrist and that the encounter is subsequent to the initial injury.
• Verify that the specific muscle, fascia, or tendon involved is not more precisely coded elsewhere (e.g., S66.111D for flexor pollicis longus).
• Always pair with an external cause code (e.g., W00-Y38) to describe the circumstances of the injury, if known and applicable.