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

Code Also
Code Also Help
A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter.
  • any associated open wound (
    ICD-10-CM Diagnosis Code S41
    • S41 Open wound of shoulder and upper arm
      • S41.0 Open wound of shoulder
        • S41.00 Unspecified open wound of shoulder
          • S41.001 Unspecified open wound of right shoulder
            • S41.001A Unspecified open wound of right shoulder, ini...
            • S41.001D Unspecified open wound of right shoulder, sub...
            • S41.001S Unspecified open wound of right shoulder, seq...
          • S41.002 Unspecified open wound of left shoulder
            • S41.002A Unspecified open wound of left shoulder, init...
            • S41.002D Unspecified open wound of left shoulder, subs...
            • S41.002S Unspecified open wound of left shoulder, sequ...
          • S41.009 Unspecified open wound of unspecified shoulde...
            • S41.009A Unspecified open wound of unspecified shoulde...
            • S41.009D Unspecified open wound of unspecified shoulde...
            • S41.009S Unspecified open wound of unspecified shoulde...
        • S41.01 Laceration without foreign body of shoulder
          • S41.011 Laceration without foreign body of right shou...
            • S41.011A Laceration without foreign body of right shou...
            • S41.011D Laceration without foreign body of right shou...
            • S41.011S Laceration without foreign body of right shou...
          • S41.012 Laceration without foreign body of left shoul...
            • S41.012A Laceration without foreign body of left shoul...
            • S41.012D Laceration without foreign body of left shoul...
            • S41.012S Laceration without foreign body of left shoul...
          • S41.019 Laceration without foreign body of unspecifie...
            • S41.019A Laceration without foreign body of unspecifie...
            • S41.019D Laceration without foreign body of unspecifie...
            • S41.019S Laceration without foreign body of unspecifie...
        • S41.02 Laceration with foreign body of shoulder
          • S41.021 Laceration with foreign body of right shoulde...
            • S41.021A Laceration with foreign body of right shoulde...
            • S41.021D Laceration with foreign body of right shoulde...
            • S41.021S Laceration with foreign body of right shoulde...
          • S41.022 Laceration with foreign body of left shoulder...
            • S41.022A Laceration with foreign body of left shoulder...
            • S41.022D Laceration with foreign body of left shoulder...
            • S41.022S Laceration with foreign body of left shoulder...
          • S41.029 Laceration with foreign body of unspecified s...
            • S41.029A Laceration with foreign body of unspecified s...
            • S41.029D Laceration with foreign body of unspecified s...
            • S41.029S Laceration with foreign body of unspecified s...
        • S41.03 Puncture wound without foreign body of should...
          • S41.031 Puncture wound without foreign body of right ...
            • S41.031A Puncture wound without foreign body of right ...
            • S41.031D Puncture wound without foreign body of right ...
            • S41.031S Puncture wound without foreign body of right ...
          • S41.032 Puncture wound without foreign body of left s...
            • S41.032A Puncture wound without foreign body of left s...
            • S41.032D Puncture wound without foreign body of left s...
            • S41.032S Puncture wound without foreign body of left s...
          • S41.039 Puncture wound without foreign body of unspec...
            • S41.039A Puncture wound without foreign body of unspec...
            • S41.039D Puncture wound without foreign body of unspec...
            • S41.039S Puncture wound without foreign body of unspec...
        • S41.04 Puncture wound with foreign body of shoulder
          • S41.041 Puncture wound with foreign body of right sho...
            • S41.041A Puncture wound with foreign body of right sho...
            • S41.041D Puncture wound with foreign body of right sho...
            • S41.041S Puncture wound with foreign body of right sho...
          • S41.042 Puncture wound with foreign body of left shou...
            • S41.042A Puncture wound with foreign body of left shou...
            • S41.042D Puncture wound with foreign body of left shou...
            • S41.042S Puncture wound with foreign body of left shou...
          • S41.049 Puncture wound with foreign body of unspecifi...
            • S41.049A Puncture wound with foreign body of unspecifi...
            • S41.049D Puncture wound with foreign body of unspecifi...
            • S41.049S Puncture wound with foreign body of unspecifi...
        • S41.05 Open bite of shoulder
          • S41.051 Open bite of right shoulder
            • S41.051A Open bite of right shoulder, initial encounte...
            • S41.051D Open bite of right shoulder, subsequent encou...
            • S41.051S …… sequela
          • S41.052 Open bite of left shoulder
            • S41.052A Open bite of left shoulder, initial encounter...
            • S41.052D Open bite of left shoulder, subsequent encoun...
            • S41.052S …… sequela
          • S41.059 Open bite of unspecified shoulder
            • S41.059A Open bite of unspecified shoulder, initial en...
            • S41.059D Open bite of unspecified shoulder, subsequent...
            • S41.059S …… sequela
      • S41.1 Open wound of upper arm
        • S41.10 Unspecified open wound of upper arm
          • S41.101 Unspecified open wound of right upper arm
            • S41.101A Unspecified open wound of right upper arm, in...
            • S41.101D Unspecified open wound of right upper arm, su...
            • S41.101S Unspecified open wound of right upper arm, se...
          • S41.102 Unspecified open wound of left upper arm
            • S41.102A Unspecified open wound of left upper arm, ini...
            • S41.102D Unspecified open wound of left upper arm, sub...
            • S41.102S Unspecified open wound of left upper arm, seq...
          • S41.109 Unspecified open wound of unspecified upper a...
            • S41.109A Unspecified open wound of unspecified upper a...
            • S41.109D Unspecified open wound of unspecified upper a...
            • S41.109S Unspecified open wound of unspecified upper a...
        • S41.11 Laceration without foreign body of upper arm
          • S41.111 Laceration without foreign body of right uppe...
            • S41.111A Laceration without foreign body of right uppe...
            • S41.111D Laceration without foreign body of right uppe...
            • S41.111S Laceration without foreign body of right uppe...
          • S41.112 Laceration without foreign body of left upper...
            • S41.112A Laceration without foreign body of left upper...
            • S41.112D Laceration without foreign body of left upper...
            • S41.112S Laceration without foreign body of left upper...
          • S41.119 Laceration without foreign body of unspecifie...
            • S41.119A Laceration without foreign body of unspecifie...
            • S41.119D Laceration without foreign body of unspecifie...
            • S41.119S Laceration without foreign body of unspecifie...
        • S41.12 Laceration with foreign body of upper arm
          • S41.121 Laceration with foreign body of right upper a...
            • S41.121A Laceration with foreign body of right upper a...
            • S41.121D Laceration with foreign body of right upper a...
            • S41.121S Laceration with foreign body of right upper a...
          • S41.122 Laceration with foreign body of left upper ar...
            • S41.122A Laceration with foreign body of left upper ar...
            • S41.122D Laceration with foreign body of left upper ar...
            • S41.122S Laceration with foreign body of left upper ar...
          • S41.129 Laceration with foreign body of unspecified u...
            • S41.129A Laceration with foreign body of unspecified u...
            • S41.129D Laceration with foreign body of unspecified u...
            • S41.129S Laceration with foreign body of unspecified u...
        • S41.13 Puncture wound without foreign body of upper ...
          • S41.131 Puncture wound without foreign body of right ...
            • S41.131A Puncture wound without foreign body of right ...
            • S41.131D Puncture wound without foreign body of right ...
            • S41.131S Puncture wound without foreign body of right ...
          • S41.132 Puncture wound without foreign body of left u...
            • S41.132A Puncture wound without foreign body of left u...
            • S41.132D Puncture wound without foreign body of left u...
            • S41.132S Puncture wound without foreign body of left u...
          • S41.139 Puncture wound without foreign body of unspec...
            • S41.139A Puncture wound without foreign body of unspec...
            • S41.139D Puncture wound without foreign body of unspec...
            • S41.139S Puncture wound without foreign body of unspec...
        • S41.14 Puncture wound with foreign body of upper arm...
          • S41.141 Puncture wound with foreign body of right upp...
            • S41.141A Puncture wound with foreign body of right upp...
            • S41.141D Puncture wound with foreign body of right upp...
            • S41.141S Puncture wound with foreign body of right upp...
          • S41.142 Puncture wound with foreign body of left uppe...
            • S41.142A Puncture wound with foreign body of left uppe...
            • S41.142D Puncture wound with foreign body of left uppe...
            • S41.142S Puncture wound with foreign body of left uppe...
          • S41.149 Puncture wound with foreign body of unspecifi...
            • S41.149A Puncture wound with foreign body of unspecifi...
            • S41.149D Puncture wound with foreign body of unspecifi...
            • S41.149S Puncture wound with foreign body of unspecifi...
        • S41.15 Open bite of upper arm
          • S41.151 Open bite of right upper arm
            • S41.151A Open bite of right upper arm, initial encount...
            • S41.151D Open bite of right upper arm, subsequent enco...
            • S41.151S …… sequela
          • S41.152 Open bite of left upper arm
            • S41.152A Open bite of left upper arm, initial encounte...
            • S41.152D Open bite of left upper arm, subsequent encou...
            • S41.152S …… sequela
          • S41.159 Open bite of unspecified upper arm
            • S41.159A Open bite of unspecified upper arm, initial e...
            • S41.159D Open bite of unspecified upper arm, subsequen...
            • S41.159S …… sequela
    S41.-
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (S46) and the excluded code together.
  • injury of muscle, fascia and tendon at elbow (
    ICD-10-CM Diagnosis Code S56
    • S56.0 Injury of flexor muscle, fascia and tendon of thumb at forearm level
    • S56.1 Injury of flexor muscle, fascia and tendon of other and unspecified finger at forearm level
    • S56.2 Injury of other flexor muscle, fascia and tendon at forearm level
    • S56.3 Injury of extensor or abductor muscles, fascia and tendons of thumb at forearm level
    • S56.4 Injury of extensor muscle, fascia and tendon of other and unspecified finger at forearm level
    • S56.5 Injury of other extensor muscle, fascia and tendon at forearm level
    • S56.8 Injury of other muscles, fascia and tendons at forearm level
    • S56.9 Injury of unspecified muscles, fascia and tendons at forearm level
    S56.-
    )
  • sprain of joints and ligaments of shoulder girdle (
    ICD-10-CM Diagnosis Code S43.9

    Sprain of unspecified parts of shoulder girdle

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    S43.9
    )
Codes
  • S46 Injury of muscle, fascia and tendon at shoulder and upper arm level
    • S46.0 Injury of muscle(s) and tendon(s) of the rotator cuff of shoulder
      • S46.00 Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of shoulder
        • S46.001 Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder
        • S46.002 Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder
        • S46.009 Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder
      • S46.01 Strain of muscle(s) and tendon(s) of the rotator cuff of shoulder
        • S46.011 Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder
        • S46.012 Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder
        • S46.019 Strain of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder
      • S46.02 Laceration of muscle(s) and tendon(s) of the rotator cuff of shoulder
        • S46.021 Laceration of muscle(s) and tendon(s) of the rotator cuff of right shoulder
        • S46.022 Laceration of muscle(s) and tendon(s) of the rotator cuff of left shoulder
        • S46.029 Laceration of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder
      • S46.09 Other injury of muscle(s) and tendon(s) of the rotator cuff of shoulder
        • S46.091 Other injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder
        • S46.092 Other injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder
        • S46.099 Other injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder
    • S46.1 Injury of muscle, fascia and tendon of long head of biceps
      • S46.10 Unspecified injury of muscle, fascia and tendon of long head of biceps
        • S46.101 Unspecified injury of muscle, fascia and tendon of long head of biceps, right arm
        • S46.102 Unspecified injury of muscle, fascia and tendon of long head of biceps, left arm
        • S46.109 Unspecified injury of muscle, fascia and tendon of long head of biceps, unspecified arm
      • S46.11 Strain of muscle, fascia and tendon of long head of biceps
        • S46.111 Strain of muscle, fascia and tendon of long head of biceps, right arm
        • S46.112 Strain of muscle, fascia and tendon of long head of biceps, left arm
        • S46.119 Strain of muscle, fascia and tendon of long head of biceps, unspecified arm
      • S46.12 Laceration of muscle, fascia and tendon of long head of biceps
        • S46.121 Laceration of muscle, fascia and tendon of long head of biceps, right arm
        • S46.122 Laceration of muscle, fascia and tendon of long head of biceps, left arm
        • S46.129 Laceration of muscle, fascia and tendon of long head of biceps, unspecified arm
      • S46.19 Other injury of muscle, fascia and tendon of long head of biceps
        • S46.191 Other injury of muscle, fascia and tendon of long head of biceps, right arm
        • S46.192 Other injury of muscle, fascia and tendon of long head of biceps, left arm
        • S46.199 Other injury of muscle, fascia and tendon of long head of biceps, unspecified arm
    • S46.2 Injury of muscle, fascia and tendon of other parts of biceps
      • S46.20 Unspecified injury of muscle, fascia and tendon of other parts of biceps
        • S46.201 Unspecified injury of muscle, fascia and tendon of other parts of biceps, right arm
        • S46.202 Unspecified injury of muscle, fascia and tendon of other parts of biceps, left arm
        • S46.209 Unspecified injury of muscle, fascia and tendon of other parts of biceps, unspecified arm
      • S46.21 Strain of muscle, fascia and tendon of other parts of biceps
        • S46.211 Strain of muscle, fascia and tendon of other parts of biceps, right arm
        • S46.212 Strain of muscle, fascia and tendon of other parts of biceps, left arm
        • S46.219 Strain of muscle, fascia and tendon of other parts of biceps, unspecified arm
      • S46.22 Laceration of muscle, fascia and tendon of other parts of biceps
        • S46.221 Laceration of muscle, fascia and tendon of other parts of biceps, right arm
        • S46.222 Laceration of muscle, fascia and tendon of other parts of biceps, left arm
        • S46.229 Laceration of muscle, fascia and tendon of other parts of biceps, unspecified arm
      • S46.29 Other injury of muscle, fascia and tendon of other parts of biceps
        • S46.291 Other injury of muscle, fascia and tendon of other parts of biceps, right arm
        • S46.292 Other injury of muscle, fascia and tendon of other parts of biceps, left arm
        • S46.299 Other injury of muscle, fascia and tendon of other parts of biceps, unspecified arm
    • S46.3 Injury of muscle, fascia and tendon of triceps
      • S46.30 Unspecified injury of muscle, fascia and tendon of triceps
        • S46.301 Unspecified injury of muscle, fascia and tendon of triceps, right arm
        • S46.302 Unspecified injury of muscle, fascia and tendon of triceps, left arm
        • S46.309 Unspecified injury of muscle, fascia and tendon of triceps, unspecified arm
      • S46.31 Strain of muscle, fascia and tendon of triceps
        • S46.311 Strain of muscle, fascia and tendon of triceps, right arm
        • S46.312 Strain of muscle, fascia and tendon of triceps, left arm
        • S46.319 Strain of muscle, fascia and tendon of triceps, unspecified arm
      • S46.32 Laceration of muscle, fascia and tendon of triceps
        • S46.321 Laceration of muscle, fascia and tendon of triceps, right arm
        • S46.322 Laceration of muscle, fascia and tendon of triceps, left arm
        • S46.329 Laceration of muscle, fascia and tendon of triceps, unspecified arm
      • S46.39 Other injury of muscle, fascia and tendon of triceps
        • S46.391 Other injury of muscle, fascia and tendon of triceps, right arm
        • S46.392 Other injury of muscle, fascia and tendon of triceps, left arm
        • S46.399 Other injury of muscle, fascia and tendon of triceps, unspecified arm
    • S46.8 Injury of other muscles, fascia and tendons at shoulder and upper arm level
      • S46.80 Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level
        • S46.801 Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm
        • S46.802 Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm
        • S46.809 Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm
      • S46.81 Strain of other muscles, fascia and tendons at shoulder and upper arm level
        • S46.811 Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm
        • S46.812 Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm
        • S46.819 Strain of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm
      • S46.82 Laceration of other muscles, fascia and tendons at shoulder and upper arm level
        • S46.821 Laceration of other muscles, fascia and tendons at shoulder and upper arm level, right arm
        • S46.822 Laceration of other muscles, fascia and tendons at shoulder and upper arm level, left arm
        • S46.829 Laceration of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm
      • S46.89 Other injury of other muscles, fascia and tendons at shoulder and upper arm level
        • S46.891 Other injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm
        • S46.892 Other injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm
        • S46.899 Other injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm
    • S46.9 Injury of unspecified muscle, fascia and tendon at shoulder and upper arm level
      • S46.90 Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level
        • S46.901 Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm
        • S46.902 Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm
        • S46.909 Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm
      • S46.91 Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level
        • S46.911 Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm
        • S46.912 Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm
        • S46.919 Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm
      • S46.92 Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level
        • S46.921 Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm
        • S46.922 Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm
        • S46.929 Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm
      • S46.99 Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level
        • S46.991 Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm
        • S46.992 Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm
        • S46.999 Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm