Strain of musc/fasc/tend long hd bicep, left arm, sequela

This code signifies a lasting effect or complication resulting from a previous injury to the long head of the biceps muscle, its surrounding fascia, or tendon in the left arm. This could include chronic pain, weakness, limited range of motion, or other persistent issues that developed after the initial strain has healed. It indicates that the current patient encounter is addressing these long-term consequences.

Apply this code when a patient presents with a current condition that is a direct result of a past strain to the long head of the biceps in their left arm. This is appropriate for follow-up visits addressing chronic symptoms, rehabilitation for persistent deficits, or management of complications that arose from the original injury. Do not use for the initial acute injury or for subsequent acute injuries.

• Always use this code as a secondary diagnosis, following the code for the specific sequela being treated (e.g., chronic pain, muscle weakness).
• Ensure documentation clearly links the current condition to a previous strain of the long head of the biceps in the left arm.
• Verify the "S" seventh character is appropriate, indicating a sequela, rather than an initial encounter or subsequent encounter for the acute injury.