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

Instructional notes

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers 7th character use and coding of injuries, fractures, burns, drug and toxic effects, abuse and neglect, and complications of care (S00-T88).

• Application of 7th Characters in Chapter 19 (page 77)
• Coding of Injuries (page 78)
• Coding of Traumatic Fractures (page 79)
• Coding of Burns and Corrosions (page 80)
• Adverse Effects, Poisoning, Underdosing and Toxic Effects (page 82)
• Adult and child abuse, neglect and other maltreatment (page 85)
• Complications of care (page 85)

Read Section I.C.19 (page 77)

All codes under S46

S46 can't be used on a claim. Pick a billable code below; grey headings group them.

• S46.0Injury of muscle(s) and tendon(s) of the rotator cuff of shoulder
• S46.00Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of shoulder
• S46.001Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder
• S46.001AUnspecified injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounter
• S46.001DUnspecified injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder, subsequent encounter
• S46.001SUnspecified injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder, sequela
• S46.002Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder
• S46.002AUnspecified injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounter
• S46.002DUnspecified injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder, subsequent encounter
• S46.002SUnspecified injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder, sequela
• S46.009Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder
• S46.009AUnspecified injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, initial encounter
• S46.009DUnspecified injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, subsequent encounter
• S46.009SUnspecified injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, sequela
• S46.01Strain of muscle(s) and tendon(s) of the rotator cuff of shoulder
• S46.011Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder
• S46.011AStrain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounter
• S46.011DStrain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, subsequent encounter
• S46.011SStrain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, sequela
• S46.012Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder
• S46.012AStrain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounter
• S46.012DStrain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, subsequent encounter
• S46.012SStrain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, sequela
• S46.019Strain of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder
• S46.019AStrain of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, initial encounter
• S46.019DStrain of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, subsequent encounter
• S46.019SStrain of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, sequela
• S46.02Laceration of muscle(s) and tendon(s) of the rotator cuff of shoulder
• S46.021Laceration of muscle(s) and tendon(s) of the rotator cuff of right shoulder
• S46.021ALaceration of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounter
• S46.021DLaceration of muscle(s) and tendon(s) of the rotator cuff of right shoulder, subsequent encounter
• S46.021SLaceration of muscle(s) and tendon(s) of the rotator cuff of right shoulder, sequela
• S46.022Laceration of muscle(s) and tendon(s) of the rotator cuff of left shoulder
• S46.022ALaceration of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounter
• S46.022DLaceration of muscle(s) and tendon(s) of the rotator cuff of left shoulder, subsequent encounter
• S46.022SLaceration of muscle(s) and tendon(s) of the rotator cuff of left shoulder, sequela
• S46.029Laceration of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder
• S46.029ALaceration of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, initial encounter
• S46.029DLaceration of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, subsequent encounter
• S46.029SLaceration of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, sequela
• S46.09Other injury of muscle(s) and tendon(s) of the rotator cuff of shoulder
• S46.091Other injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder
• S46.091AOther injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounter
• S46.091DOther injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder, subsequent encounter
• S46.091SOther injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder, sequela
• S46.092Other injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder
• S46.092AOther injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounter
• S46.092DOther injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder, subsequent encounter
• S46.092SOther injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder, sequela
• S46.099Other injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder
• S46.099AOther injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, initial encounter
• S46.099DOther injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, subsequent encounter
• S46.099SOther injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, sequela
• S46.1Injury of muscle, fascia and tendon of long head of biceps
• S46.10Unspecified injury of muscle, fascia and tendon of long head of biceps
• S46.101Unspecified injury of muscle, fascia and tendon of long head of biceps, right arm
• S46.101AUnspecified injury of muscle, fascia and tendon of long head of biceps, right arm, initial encounter
• S46.101DUnspecified injury of muscle, fascia and tendon of long head of biceps, right arm, subsequent encounter
• S46.101SUnspecified injury of muscle, fascia and tendon of long head of biceps, right arm, sequela
• S46.102Unspecified injury of muscle, fascia and tendon of long head of biceps, left arm
• S46.102AUnspecified injury of muscle, fascia and tendon of long head of biceps, left arm, initial encounter
• S46.102DUnspecified injury of muscle, fascia and tendon of long head of biceps, left arm, subsequent encounter
• S46.102SUnspecified injury of muscle, fascia and tendon of long head of biceps, left arm, sequela
• S46.109Unspecified injury of muscle, fascia and tendon of long head of biceps, unspecified arm
• S46.109AUnspecified injury of muscle, fascia and tendon of long head of biceps, unspecified arm, initial encounter
• S46.109DUnspecified injury of muscle, fascia and tendon of long head of biceps, unspecified arm, subsequent encounter
• S46.109SUnspecified injury of muscle, fascia and tendon of long head of biceps, unspecified arm, sequela
• S46.11Strain of muscle, fascia and tendon of long head of biceps
• S46.111Strain of muscle, fascia and tendon of long head of biceps, right arm
• S46.111AStrain of muscle, fascia and tendon of long head of biceps, right arm, initial encounter
• S46.111DStrain of muscle, fascia and tendon of long head of biceps, right arm, subsequent encounter
• S46.111SStrain of muscle, fascia and tendon of long head of biceps, right arm, sequela
• S46.112Strain of muscle, fascia and tendon of long head of biceps, left arm
• S46.112AStrain of muscle, fascia and tendon of long head of biceps, left arm, initial encounter
• S46.112DStrain of muscle, fascia and tendon of long head of biceps, left arm, subsequent encounter
• S46.112SStrain of muscle, fascia and tendon of long head of biceps, left arm, sequela
• S46.119Strain of muscle, fascia and tendon of long head of biceps, unspecified arm
• S46.119AStrain of muscle, fascia and tendon of long head of biceps, unspecified arm, initial encounter
• S46.119DStrain of muscle, fascia and tendon of long head of biceps, unspecified arm, subsequent encounter
• S46.119SStrain of muscle, fascia and tendon of long head of biceps, unspecified arm, sequela
• S46.12Laceration of muscle, fascia and tendon of long head of biceps
• S46.121Laceration of muscle, fascia and tendon of long head of biceps, right arm
• S46.121ALaceration of muscle, fascia and tendon of long head of biceps, right arm, initial encounter
• S46.121DLaceration of muscle, fascia and tendon of long head of biceps, right arm, subsequent encounter
• S46.121SLaceration of muscle, fascia and tendon of long head of biceps, right arm, sequela
• S46.122Laceration of muscle, fascia and tendon of long head of biceps, left arm
• S46.122ALaceration of muscle, fascia and tendon of long head of biceps, left arm, initial encounter
• S46.122DLaceration of muscle, fascia and tendon of long head of biceps, left arm, subsequent encounter
• S46.122SLaceration of muscle, fascia and tendon of long head of biceps, left arm, sequela
• S46.129Laceration of muscle, fascia and tendon of long head of biceps, unspecified arm
• S46.129ALaceration of muscle, fascia and tendon of long head of biceps, unspecified arm, initial encounter
• S46.129DLaceration of muscle, fascia and tendon of long head of biceps, unspecified arm, subsequent encounter
• S46.129SLaceration of muscle, fascia and tendon of long head of biceps, unspecified arm, sequela
• S46.19Other injury of muscle, fascia and tendon of long head of biceps
• S46.191Other injury of muscle, fascia and tendon of long head of biceps, right arm
• S46.191AOther injury of muscle, fascia and tendon of long head of biceps, right arm, initial encounter
• S46.191DOther injury of muscle, fascia and tendon of long head of biceps, right arm, subsequent encounter
• S46.191SOther injury of muscle, fascia and tendon of long head of biceps, right arm, sequela
• S46.192Other injury of muscle, fascia and tendon of long head of biceps, left arm
• S46.192AOther injury of muscle, fascia and tendon of long head of biceps, left arm, initial encounter
• S46.192DOther injury of muscle, fascia and tendon of long head of biceps, left arm, subsequent encounter
• S46.192SOther injury of muscle, fascia and tendon of long head of biceps, left arm, sequela
• S46.199Other injury of muscle, fascia and tendon of long head of biceps, unspecified arm
• S46.199AOther injury of muscle, fascia and tendon of long head of biceps, unspecified arm, initial encounter
• S46.199DOther injury of muscle, fascia and tendon of long head of biceps, unspecified arm, subsequent encounter
• S46.199SOther injury of muscle, fascia and tendon of long head of biceps, unspecified arm, sequela
• S46.2Injury of muscle, fascia and tendon of other parts of biceps
• S46.20Unspecified injury of muscle, fascia and tendon of other parts of biceps
• S46.201Unspecified injury of muscle, fascia and tendon of other parts of biceps, right arm
• S46.201AUnspecified injury of muscle, fascia and tendon of other parts of biceps, right arm, initial encounter
• S46.201DUnspecified injury of muscle, fascia and tendon of other parts of biceps, right arm, subsequent encounter
• S46.201SUnspecified injury of muscle, fascia and tendon of other parts of biceps, right arm, sequela
• S46.202Unspecified injury of muscle, fascia and tendon of other parts of biceps, left arm
• S46.202AUnspecified injury of muscle, fascia and tendon of other parts of biceps, left arm, initial encounter
• S46.202DUnspecified injury of muscle, fascia and tendon of other parts of biceps, left arm, subsequent encounter
• S46.202SUnspecified injury of muscle, fascia and tendon of other parts of biceps, left arm, sequela
• S46.209Unspecified injury of muscle, fascia and tendon of other parts of biceps, unspecified arm
• S46.209AUnspecified injury of muscle, fascia and tendon of other parts of biceps, unspecified arm, initial encounter
• S46.209DUnspecified injury of muscle, fascia and tendon of other parts of biceps, unspecified arm, subsequent encounter
• S46.209SUnspecified injury of muscle, fascia and tendon of other parts of biceps, unspecified arm, sequela
• S46.21Strain of muscle, fascia and tendon of other parts of biceps
• S46.211Strain of muscle, fascia and tendon of other parts of biceps, right arm
• S46.211AStrain of muscle, fascia and tendon of other parts of biceps, right arm, initial encounter
• S46.211DStrain of muscle, fascia and tendon of other parts of biceps, right arm, subsequent encounter
• S46.211SStrain of muscle, fascia and tendon of other parts of biceps, right arm, sequela
• S46.212Strain of muscle, fascia and tendon of other parts of biceps, left arm
• S46.212AStrain of muscle, fascia and tendon of other parts of biceps, left arm, initial encounter
• S46.212DStrain of muscle, fascia and tendon of other parts of biceps, left arm, subsequent encounter
• S46.212SStrain of muscle, fascia and tendon of other parts of biceps, left arm, sequela
• S46.219Strain of muscle, fascia and tendon of other parts of biceps, unspecified arm
• S46.219AStrain of muscle, fascia and tendon of other parts of biceps, unspecified arm, initial encounter
• S46.219DStrain of muscle, fascia and tendon of other parts of biceps, unspecified arm, subsequent encounter
• S46.219SStrain of muscle, fascia and tendon of other parts of biceps, unspecified arm, sequela
• S46.22Laceration of muscle, fascia and tendon of other parts of biceps
• S46.221Laceration of muscle, fascia and tendon of other parts of biceps, right arm
• S46.221ALaceration of muscle, fascia and tendon of other parts of biceps, right arm, initial encounter
• S46.221DLaceration of muscle, fascia and tendon of other parts of biceps, right arm, subsequent encounter
• S46.221SLaceration of muscle, fascia and tendon of other parts of biceps, right arm, sequela
• S46.222Laceration of muscle, fascia and tendon of other parts of biceps, left arm
• S46.222ALaceration of muscle, fascia and tendon of other parts of biceps, left arm, initial encounter
• S46.222DLaceration of muscle, fascia and tendon of other parts of biceps, left arm, subsequent encounter
• S46.222SLaceration of muscle, fascia and tendon of other parts of biceps, left arm, sequela
• S46.229Laceration of muscle, fascia and tendon of other parts of biceps, unspecified arm
• S46.229ALaceration of muscle, fascia and tendon of other parts of biceps, unspecified arm, initial encounter
• S46.229DLaceration of muscle, fascia and tendon of other parts of biceps, unspecified arm, subsequent encounter
• S46.229SLaceration of muscle, fascia and tendon of other parts of biceps, unspecified arm, sequela
• S46.29Other injury of muscle, fascia and tendon of other parts of biceps
• S46.291Other injury of muscle, fascia and tendon of other parts of biceps, right arm
• S46.291AOther injury of muscle, fascia and tendon of other parts of biceps, right arm, initial encounter
• S46.291DOther injury of muscle, fascia and tendon of other parts of biceps, right arm, subsequent encounter
• S46.291SOther injury of muscle, fascia and tendon of other parts of biceps, right arm, sequela
• S46.292Other injury of muscle, fascia and tendon of other parts of biceps, left arm
• S46.292AOther injury of muscle, fascia and tendon of other parts of biceps, left arm, initial encounter
• S46.292DOther injury of muscle, fascia and tendon of other parts of biceps, left arm, subsequent encounter
• S46.292SOther injury of muscle, fascia and tendon of other parts of biceps, left arm, sequela
• S46.299Other injury of muscle, fascia and tendon of other parts of biceps, unspecified arm
• S46.299AOther injury of muscle, fascia and tendon of other parts of biceps, unspecified arm, initial encounter
• S46.299DOther injury of muscle, fascia and tendon of other parts of biceps, unspecified arm, subsequent encounter
• S46.299SOther injury of muscle, fascia and tendon of other parts of biceps, unspecified arm, sequela
• S46.3Injury of muscle, fascia and tendon of triceps
• S46.30Unspecified injury of muscle, fascia and tendon of triceps
• S46.301Unspecified injury of muscle, fascia and tendon of triceps, right arm
• S46.301AUnspecified injury of muscle, fascia and tendon of triceps, right arm, initial encounter
• S46.301DUnspecified injury of muscle, fascia and tendon of triceps, right arm, subsequent encounter
• S46.301SUnspecified injury of muscle, fascia and tendon of triceps, right arm, sequela
• S46.302Unspecified injury of muscle, fascia and tendon of triceps, left arm
• S46.302AUnspecified injury of muscle, fascia and tendon of triceps, left arm, initial encounter
• S46.302DUnspecified injury of muscle, fascia and tendon of triceps, left arm, subsequent encounter
• S46.302SUnspecified injury of muscle, fascia and tendon of triceps, left arm, sequela
• S46.309Unspecified injury of muscle, fascia and tendon of triceps, unspecified arm
• S46.309AUnspecified injury of muscle, fascia and tendon of triceps, unspecified arm, initial encounter
• S46.309DUnspecified injury of muscle, fascia and tendon of triceps, unspecified arm, subsequent encounter
• S46.309SUnspecified injury of muscle, fascia and tendon of triceps, unspecified arm, sequela
• S46.31Strain of muscle, fascia and tendon of triceps
• S46.311Strain of muscle, fascia and tendon of triceps, right arm
• S46.311AStrain of muscle, fascia and tendon of triceps, right arm, initial encounter
• S46.311DStrain of muscle, fascia and tendon of triceps, right arm, subsequent encounter
• S46.311SStrain of muscle, fascia and tendon of triceps, right arm, sequela
• S46.312Strain of muscle, fascia and tendon of triceps, left arm
• S46.312AStrain of muscle, fascia and tendon of triceps, left arm, initial encounter
• S46.312DStrain of muscle, fascia and tendon of triceps, left arm, subsequent encounter
• S46.312SStrain of muscle, fascia and tendon of triceps, left arm, sequela
• S46.319Strain of muscle, fascia and tendon of triceps, unspecified arm
• S46.319AStrain of muscle, fascia and tendon of triceps, unspecified arm, initial encounter
• S46.319DStrain of muscle, fascia and tendon of triceps, unspecified arm, subsequent encounter
• S46.319SStrain of muscle, fascia and tendon of triceps, unspecified arm, sequela
• S46.32Laceration of muscle, fascia and tendon of triceps
• S46.321Laceration of muscle, fascia and tendon of triceps, right arm
• S46.321ALaceration of muscle, fascia and tendon of triceps, right arm, initial encounter
• S46.321DLaceration of muscle, fascia and tendon of triceps, right arm, subsequent encounter
• S46.321SLaceration of muscle, fascia and tendon of triceps, right arm, sequela
• S46.322Laceration of muscle, fascia and tendon of triceps, left arm
• S46.322ALaceration of muscle, fascia and tendon of triceps, left arm, initial encounter
• S46.322DLaceration of muscle, fascia and tendon of triceps, left arm, subsequent encounter
• S46.322SLaceration of muscle, fascia and tendon of triceps, left arm, sequela
• S46.329Laceration of muscle, fascia and tendon of triceps, unspecified arm
• S46.329ALaceration of muscle, fascia and tendon of triceps, unspecified arm, initial encounter
• S46.329DLaceration of muscle, fascia and tendon of triceps, unspecified arm, subsequent encounter
• S46.329SLaceration of muscle, fascia and tendon of triceps, unspecified arm, sequela
• S46.39Other injury of muscle, fascia and tendon of triceps
• S46.391Other injury of muscle, fascia and tendon of triceps, right arm
• S46.391AOther injury of muscle, fascia and tendon of triceps, right arm, initial encounter
• S46.391DOther injury of muscle, fascia and tendon of triceps, right arm, subsequent encounter
• S46.391SOther injury of muscle, fascia and tendon of triceps, right arm, sequela
• S46.392Other injury of muscle, fascia and tendon of triceps, left arm
• S46.392AOther injury of muscle, fascia and tendon of triceps, left arm, initial encounter
• S46.392DOther injury of muscle, fascia and tendon of triceps, left arm, subsequent encounter
• S46.392SOther injury of muscle, fascia and tendon of triceps, left arm, sequela
• S46.399Other injury of muscle, fascia and tendon of triceps, unspecified arm
• S46.399AOther injury of muscle, fascia and tendon of triceps, unspecified arm, initial encounter
• S46.399DOther injury of muscle, fascia and tendon of triceps, unspecified arm, subsequent encounter
• S46.399SOther injury of muscle, fascia and tendon of triceps, unspecified arm, sequela
• S46.8Injury of other muscles, fascia and tendons at shoulder and upper arm level
• S46.80Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level
• S46.801Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm
• S46.801AUnspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, initial encounter
• S46.801DUnspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, subsequent encounter
• S46.801SUnspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, sequela
• S46.802Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm
• S46.802AUnspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, initial encounter
• S46.802DUnspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, subsequent encounter
• S46.802SUnspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, sequela
• S46.809Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm
• S46.809AUnspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, initial encounter
• S46.809DUnspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, subsequent encounter
• S46.809SUnspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, sequela
• S46.81Strain of other muscles, fascia and tendons at shoulder and upper arm level
• S46.811Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm
• S46.811AStrain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, initial encounter
• S46.811DStrain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, subsequent encounter
• S46.811SStrain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, sequela
• S46.812Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm
• S46.812AStrain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, initial encounter
• S46.812DStrain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, subsequent encounter
• S46.812SStrain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, sequela
• S46.819Strain of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm
• S46.819AStrain of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, initial encounter
• S46.819DStrain of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, subsequent encounter
• S46.819SStrain of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, sequela
• S46.82Laceration of other muscles, fascia and tendons at shoulder and upper arm level
• S46.821Laceration of other muscles, fascia and tendons at shoulder and upper arm level, right arm
• S46.821ALaceration of other muscles, fascia and tendons at shoulder and upper arm level, right arm, initial encounter
• S46.821DLaceration of other muscles, fascia and tendons at shoulder and upper arm level, right arm, subsequent encounter
• S46.821SLaceration of other muscles, fascia and tendons at shoulder and upper arm level, right arm, sequela
• S46.822Laceration of other muscles, fascia and tendons at shoulder and upper arm level, left arm
• S46.822ALaceration of other muscles, fascia and tendons at shoulder and upper arm level, left arm, initial encounter
• S46.822DLaceration of other muscles, fascia and tendons at shoulder and upper arm level, left arm, subsequent encounter
• S46.822SLaceration of other muscles, fascia and tendons at shoulder and upper arm level, left arm, sequela
• S46.829Laceration of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm
• S46.829ALaceration of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, initial encounter
• S46.829DLaceration of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, subsequent encounter
• S46.829SLaceration of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, sequela
• S46.89Other injury of other muscles, fascia and tendons at shoulder and upper arm level
• S46.891Other injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm
• S46.891AOther injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, initial encounter
• S46.891DOther injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, subsequent encounter
• S46.891SOther injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, sequela
• S46.892Other injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm
• S46.892AOther injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, initial encounter
• S46.892DOther injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, subsequent encounter
• S46.892SOther injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, sequela
• S46.899Other injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm
• S46.899AOther injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, initial encounter
• S46.899DOther injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, subsequent encounter
• S46.899SOther injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, sequela
• S46.9Injury of unspecified muscle, fascia and tendon at shoulder and upper arm level
• S46.90Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level
• S46.901Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm
• S46.901AUnspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, initial encounter
• S46.901DUnspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, subsequent encounter
• S46.901SUnspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, sequela
• S46.902Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm
• S46.902AUnspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, initial encounter
• S46.902DUnspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, subsequent encounter
• S46.902SUnspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, sequela
• S46.909Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm
• S46.909AUnspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, initial encounter
• S46.909DUnspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, subsequent encounter
• S46.909SUnspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, sequela
• S46.91Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level
• S46.911Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm
• S46.911AStrain of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, initial encounter
• S46.911DStrain of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, subsequent encounter
• S46.911SStrain of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, sequela
• S46.912Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm
• S46.912AStrain of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, initial encounter
• S46.912DStrain of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, subsequent encounter
• S46.912SStrain of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, sequela
• S46.919Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm
• S46.919AStrain of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, initial encounter
• S46.919DStrain of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, subsequent encounter
• S46.919SStrain of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, sequela
• S46.92Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level
• S46.921Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm
• S46.921ALaceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, initial encounter
• S46.921DLaceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, subsequent encounter
• S46.921SLaceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, sequela
• S46.922Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm
• S46.922ALaceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, initial encounter
• S46.922DLaceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, subsequent encounter
• S46.922SLaceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, sequela
• S46.929Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm
• S46.929ALaceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, initial encounter
• S46.929DLaceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, subsequent encounter
• S46.929SLaceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, sequela
• S46.99Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level
• S46.991Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm
• S46.991AOther injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, initial encounter
• S46.991DOther injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, subsequent encounter
• S46.991SOther injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, sequela
• S46.992Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm
• S46.992AOther injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, initial encounter
• S46.992DOther injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, subsequent encounter
• S46.992SOther injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, sequela
• S46.999Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm
• S46.999AOther injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, initial encounter
• S46.999DOther injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, subsequent encounter
• S46.999SOther injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, sequela

S46 MS-DRGs

As the principal diagnosis, the billable codes under S46 group to these 14 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

• DRG 913 Traumatic Injury with MCC (72 of 216 codes)
• DRG 914 Traumatic Injury without MCC (72 of 216 codes)
• DRG 949 Aftercare with CC/MCC (72 of 216 codes)
• DRG 950 Aftercare without CC/MCC (72 of 216 codes)
• DRG 963 Other Multiple Significant Trauma with MCC (72 of 216 codes)
• DRG 964 Other Multiple Significant Trauma with CC (72 of 216 codes)
• DRG 965 Other Multiple Significant Trauma without CC/MCC (72 of 216 codes)
• DRG 562 Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC (36 of 216 codes)
• DRG 563 Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC (36 of 216 codes)
• DRG 564 Other Musculoskeletal System and Connective Tissue Diagnoses with MCC (18 of 216 codes)
• DRG 565 Other Musculoskeletal System and Connective Tissue Diagnoses with CC (18 of 216 codes)
• DRG 566 Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC (18 of 216 codes)
• DRG 604 Trauma to the Skin, Subcutaneous Tissue and Breast with MCC (18 of 216 codes)
• DRG 605 Trauma to the Skin, Subcutaneous Tissue and Breast without MCC (18 of 216 codes)

Other codes that refer to S46

Notes on these codes point to S46.

• S43 Excludes2: strain of muscle, fascia and tendon of shoulder and upper arm (S46.-)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.