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

This code signifies a non-traumatic overstretching or tearing of the triceps muscle, its surrounding fascia, or its tendon in the left arm, occurring as a late effect or complication of an initial injury. It indicates that the acute phase of the injury has passed, and the patient is experiencing ongoing symptoms or issues directly attributable to the original strain.

Use this code when documenting a patient presenting with persistent pain, weakness, or limited range of motion in the left triceps region, where the symptoms are a direct consequence of a previously sustained triceps strain. This applies to follow-up encounters for chronic issues stemming from the initial injury, rather than the acute injury itself.

• Always use this code as a secondary diagnosis, following the code for the primary condition or sequela being treated.
• Ensure documentation clearly links the current triceps symptoms to a past strain and specifies the left arm.
• Do not use for acute triceps strains; those require codes from the initial encounter or subsequent encounter categories.