S46

Non-Billable
ChapterS00–T88
Rankcategory
Official Description

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

Metadata & Insights
  • Non-billable category (requires more specific sub-code).
  • Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88).

CH19 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)
Use Additional Code
  • code to identify any retained foreign body, if applicable (Z18.-)

S40-S49 Parent Instructions

Includes
  • injuries of axilla
  • injuries of scapular region
Excludes2(Not included here. Code separately if applicable.)

Instructional Notes

Excludes2(Not included here. Code separately if applicable.)
  • 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.-)

Clinical Hierarchy

BillableHas subcodes
CH19Injury, poisoning and certain other consequences of external causes (S00-T88)
S40-S49Injuries to the shoulder and upper arm (S40-S49)
S46Injury of muscle, fascia and tendon at shoulder and upper arm levelNot billable
S46.0Injury of muscle(s) and tendon(s) of the rotator cuff of shoulderSubcodes
S46.1Injury of muscle, fascia and tendon of long head of bicepsSubcodes
S46.2Injury of muscle, fascia and tendon of other parts of bicepsSubcodes
S46.3Injury of muscle, fascia and tendon of tricepsSubcodes
S46.8Injury of other muscles, fascia and tendons at shoulder and upper arm levelSubcodes
S46.9Injury of unspecified muscle, fascia and tendon at shoulder and upper arm levelSubcodes

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to S46:

blockS40-S49
Injuries to the shoulder and upper arm (S40-S49)
View context instructions
chapterCH19
Injury, poisoning and certain other consequences of external causes (S00-T88)
View context instructions

MS-DRG Classification

2026

No direct MS-DRG triggers identified.

Cross Reference

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