Strain of musc/fasc/tend prt biceps, right arm, sequela

This code signifies a past injury to the biceps muscle, fascia, or tendon in the right arm, specifically affecting areas other than the long head. It indicates that a previous strain has resulted in a lasting condition or complication, such as chronic pain, weakness, or limited range of motion. The current encounter addresses these residual effects rather than the acute injury itself.

Apply this code when documenting a patient presenting with a long-term consequence or complication stemming from a previously sustained strain of the right biceps muscle, fascia, or tendon (excluding the long head). This is appropriate for follow-up visits where the focus is on managing the sequelae, not the initial acute injury. Examples include chronic bicipital tendinopathy or persistent muscle weakness after a resolved strain.

• Ensure documentation clearly states the current condition is a residual effect of a previous biceps strain.
• Confirm the injury location is the right arm and involves parts of the biceps other than the long head.
• Always use a "S" (sequela) seventh character when the encounter is for the late effects of an injury.