Laceration of musc/fasc/tend at shldr/up arm, unsp arm, subs

Laceration of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, subsequent encounter

📋Clinical Description

This code indicates a tear or cut in muscles, fascia, or tendons located in the shoulder or upper arm region, where the specific arm affected is not documented. This particular code is used for follow-up care after the initial injury has been treated.

🎯When to Use

Use this code for subsequent encounters when a patient presents for follow-up, wound care, or rehabilitation related to a laceration of unspecified muscles, fascia, or tendons in the shoulder or upper arm. This applies when the laterality of the injury (left or right arm) is not specified in the medical record.

💡Coding Tips

Ensure documentation clearly states "subsequent encounter" for this specific injury.
Avoid using this code if the laterality (left or right arm) is documented; instead, choose a more specific code.
Confirm the injury is a laceration and not another type of muscle, fascia, or tendon injury.

AI-generated reference — verify against official guidelines

Code Hierarchy

▲S46.829Laceration of musc/fasc/tend at shldr/up arm, unsp arm

S46.829D(current)

Crosswalks

V58.89ApproxICD-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