2026 ICD-10-CM Diagnosis Code S46.191DOther injury of muscle, fascia and tendon of long head of biceps, right arm, subsequent encounter

ICD-10-CM Codes›S00–T88›S40-S49›S46

ICD-10-CM S46.191D
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S46.191D is a billable ICD-10-CM diagnosis code for other injury of muscle, fascia and tendon of long head of biceps, right arm, subsequent encounter. The 7th character D marks it as a subsequent encounter code, used during routine care in the healing or recovery phase. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 949 through 950. The code is exempt from POA reporting. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Injury to nerves, muscles and tendons, subsequent encounter.

Code Identity

ICD-10-CM Code
S46.191D
Billable Status
Yes — Valid for Submission
Code Describes
Other injury of muscle, fascia and tendon of long head of biceps, right arm, subsequent encounter
Short Description
Inj musc/fasc/tend long head of biceps, right arm, subs
Parent Code
S46.191
Other injury of muscle, fascia and tendon of long head of biceps, right arm

Code Classification

ChapterS00–T88Injury, poisoning and certain other consequences of external causes
SectionS40-S49Injuries to the shoulder and upper arm
CategoryS46Injury of muscle, fascia and tendon at shoulder and upper arm level
This CodeS46.191DOther injury of muscle, fascia and tendon of long head of biceps, right arm, subsequent encounter

Present on Admission (POA)Billing

S46.191D is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Coding GuidelinesGuidance

The appropriate 7th character is to be added to each code from block Injury of muscle, fascia and tendon at shoulder and upper arm level (S46). Use the following options for the applicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR INJ062
Injury to nerves, muscles and tendons, subsequent encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Shoulder Injuries and Disorders

Your shoulder joint is composed of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone). Your shoulders are the most movable joints in your body. They can also be unstable because the ball of the upper arm is larger than the shoulder socket that holds it.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert S46.191D to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
V58.89 Other specfied aftercare
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About S46.191DOverview

Is S46.191D a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report other injury of muscle, fascia and tendon of long head of biceps, right arm, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character D in S46.191D mean?

The final character D marks a subsequent encounter: use it for routine care while the other injury of muscle, fascia and tendon of long head of biceps, right arm is healing, after active treatment has ended.

What MS-DRG does S46.191D group to?

When other injury of muscle, fascia and tendon of long head of biceps, right arm, subsequent encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 949, 950, with relative weights from 0.6277 to 1.1897 depending on complications. Higher weights mean higher Medicare reimbursement.

Is S46.191D exempt from POA reporting?

Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for other injury of muscle, fascia and tendon of long head of biceps, right arm, subsequent encounter on inpatient claims.

What is the ICD-9 equivalent of S46.191D?

Under the General Equivalence Mappings, other injury of muscle, fascia and tendon of long head of biceps, right arm, subsequent encounter converts to ICD-9-CM V58.89 (other specfied aftercare). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.