Lacerat musc/fasc/tend at shldr/up arm, right arm, init

Laceration of other muscles, fascia and tendons at shoulder and upper arm level, right arm, initial encounter

📋Clinical Description

This diagnosis code indicates a tear or cut in muscles, fascia, or tendons located in the right shoulder or upper arm, excluding the rotator cuff, biceps, and triceps. It signifies an acute injury where the tissue has been disrupted by a laceration.

🎯When to Use

Apply this code for patients presenting with a fresh, open wound that has severed or torn muscle, fascia, or tendons in the specified anatomical region of the right arm. This is appropriate for the initial treatment of such an injury, such as in an emergency department or initial surgical repair.

💡Coding Tips

Ensure the documentation clearly specifies a laceration (tear or cut) rather than a strain or rupture.
Verify the injury is to "other" muscles, fascia, or tendons, meaning it's not a rotator cuff, biceps, or triceps injury.
Confirm the encounter is the initial treatment for this specific injury to use the "A" seventh character.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S46.821Laceration of musc/fasc/tend at shldr/up arm, right arm

S46.821A(current)

Crosswalks

880.20ApproxICD-9

Same Category

S46Injury of muscle, fascia and tendon at shldr/up arm S46.0Injury of musc/tend the rotator cuff of shoulder S46.00Unsp injury of musc/tend the rotator cuff of shoulder S46.001Unsp injury of musc/tend the rotator cuff of right shoulder S46.001A