Strain of musc/fasc/tend long hd bicep, right arm, subs

This code indicates a non-traumatic injury to the long head of the biceps brachii in the right arm, affecting the muscle, its surrounding fascia, and/or its tendon. It specifically denotes that the patient is in the healing phase of the injury, receiving follow-up care after the initial treatment.

Apply this code when a patient presents for ongoing treatment, rehabilitation, or follow-up appointments for a previously diagnosed strain of the long head of the right biceps. This includes scenarios such as physical therapy sessions, re-evaluation appointments, or medication adjustments during the recovery period.

• Ensure documentation clearly specifies "right arm" and "long head of biceps."
• Confirm the encounter type is "subsequent" (D) and not initial (A) or sequela (S).
• Distinguish from sprains (ligamentous injury) and complete tears.