S46.221S
ICD-10-CMLaceration of muscle, fascia and tendon of other parts of biceps, right arm, sequela
This code signifies a past injury to the right biceps muscle, its surrounding connective tissue (fascia), and its attached tendons, where the initial wound involved a tear or cut. The "sequela" designation indicates that the patient is now experiencing a long-term complication or residual effect directly stemming from that original laceration. This could include chronic pain, weakness, limited range of motion, or other persistent issues.
Apply this code when documenting follow-up care for a patient presenting with ongoing symptoms directly attributable to a previously sustained laceration of the right biceps muscle, fascia, and/or tendon. This is appropriate for conditions like chronic scar tissue pain, persistent muscle weakness, or contractures resulting from the initial injury. Do not use for the initial acute injury.
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