ICD-10-CM › S00-T88 › S40-S49 › S46.81 Strain of other muscles, fascia... › S46.812

S46.812

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

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 3 more specific codes instead:

  • S46.812A Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, initial encounter
  • S46.812D Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, subsequent encounter
  • S46.812S Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, sequela

This code requires a seventh character. See the rule below.

What has happened to this code

Every change the publisher made, from 2014 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

  1. FY2014 Added to the draft code set draft Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from S46 Injury of muscle, fascia and tendon at shoulder and upper arm level

Seventh character required

  • The appropriate 7th character is to be added to each code from category S46

Excludes2 - not included here

  • injury of muscle, fascia and tendon at elbow (S56.-)
  • sprain of joints and ligaments of shoulder girdle (S43.9)

Code also

  • any associated open wound (S41.-)

Inherited from the S40-S49 section Injuries to the shoulder and upper arm (S40-S49)

Excludes2 - not included here

  • burns and corrosions (T20-T32)
  • frostbite (T33-T34)
  • injuries of elbow (S50-S59)
  • insect bite or sting, venomous (T63.4)

Includes

  • injuries of axilla
  • injuries of scapular region

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Codes in the same group

CodeDescriptionStatus
S46.811 Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm Not billable
S46.819 Strain of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm Not billable