Strain of musc/fasc/tend triceps, right arm, sequela

This code signifies a past injury to the triceps muscle, its surrounding fascia, or its tendon in the right arm, where the effects of that original injury are still present and being treated. These lingering effects, or sequelae, could include chronic pain, weakness, limited range of motion, or other long-term complications directly attributable to the previous strain.

Apply this code when documenting and billing for treatment of a current condition that is a direct consequence of a previously sustained strain to the right triceps. This is appropriate for follow-up visits addressing chronic pain or functional deficits resulting from an old triceps strain, rather than the initial acute injury.

• Always use a sequela code (ending in "S") when the patient is being treated for a residual condition or complication of a past injury, not the acute injury itself.
• Ensure documentation clearly links the current symptoms or condition to a previous triceps strain in the right arm.
• Do not use this code for acute triceps strains; those require an initial or subsequent encounter code.