S49.91XA
ICD-10-CMUnspecified injury of right shoulder and upper arm, initial encounter
This code signifies an injury to the right shoulder or upper arm where the specific nature of the injury (e.g., fracture, sprain, strain) is not documented. It indicates that the patient is presenting for the initial treatment of this unknown injury.
Use this code when a patient presents with pain, swelling, or functional limitation in the right shoulder or upper arm following trauma, and the diagnostic workup (e.g., imaging, physical exam) has not yet definitively identified the precise injury. This is appropriate for the initial visit where further investigation is pending.
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