Not Valid for Submission
S46.811 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
The appropriate 7th character is to be added to each code from block Injury of muscle, fascia and tendon at shldr/up arm (S46). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Specific Coding for Strain of musc/fasc/tend at shldr/up arm, right arm
Non-specific codes like S46.811 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for strain of musc/fasc/tend at shldr/up arm, right arm:
Information for Patients
Arm Injuries and Disorders
Of the 206 bones in your body, three of them are in your arm: the humerus, radius, and ulna. Your arms are also made up of muscles, joints, tendons, and other connective tissue. Injuries to any of these parts of the arm can occur during sports, a fall, or an accident.
Types of arm injuries include
- Tendinitis and bursitis
- Broken bones
- Nerve problems
You may also have problems or injure specific parts of your arm, such as your hand, wrist, elbow, or shoulder.
- Arm CT scan (Medical Encyclopedia)
- Brachial plexopathy (Medical Encyclopedia)
- Radial head fracture - aftercare (Medical Encyclopedia)
- Radial nerve dysfunction (Medical Encyclopedia)
[Learn More in MedlinePlus]
Sprains and Strains
A sprain is a stretched or torn ligament. Ligaments are tissues that connect bones at a joint. Falling, twisting, or getting hit can all cause a sprain. Ankle and wrist sprains are common. Symptoms include pain, swelling, bruising, and being unable to move your joint. You might feel a pop or tear when the injury happens.
A strain is a stretched or torn muscle or tendon. Tendons are tissues that connect muscle to bone. Twisting or pulling these tissues can cause a strain. Strains can happen suddenly or develop over time. Back and hamstring muscle strains are common. Many people get strains playing sports. Symptoms include pain, muscle spasms, swelling, and trouble moving the muscle.
At first, treatment of both sprains and strains usually involves resting the injured area, icing it, wearing a bandage or device that compresses the area, and medicines. Later treatment might include exercise and physical therapy.
NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases
- Ankle sprain - aftercare (Medical Encyclopedia)
- Elbow sprain -- aftercare (Medical Encyclopedia)
- Foot sprain - aftercare (Medical Encyclopedia)
- Hamstring strain - aftercare (Medical Encyclopedia)
- Hip flexor strain -- aftercare (Medical Encyclopedia)
- Sprains (Medical Encyclopedia)
- Strains (Medical Encyclopedia)
- Tendon repair (Medical Encyclopedia)
- Wrist sprain - aftercare (Medical Encyclopedia)
[Learn More in MedlinePlus]