2026 ICD-10-CM Diagnosis Code S46.811DStrain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, subsequent encounter

ICD-10-CM Codes›S00–T88›S40-S49›S46

ICD-10-CM S46.811D
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

S46.811D is a billable ICD-10-CM diagnosis code for strain of other muscles, fascia and tendons at shoulder and upper arm level, 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. Coders also document this condition as rupture of tendon of trunk. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Sprains and strains, subsequent encounter.

Code Identity

ICD-10-CM Code
S46.811D
Billable Status
Yes — Valid for Submission
Code Describes
Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, subsequent encounter
Short Description
Strain of musc/fasc/tend at shldr/up arm, right arm, subs
Parent Code
S46.811
Strain of other muscles, fascia and tendons at shoulder and upper arm level, 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 CodeS46.811DStrain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, subsequent encounter

Present on Admission (POA)Billing

S46.811D is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Rupture of tendon of trunk
  • Traumatic tear of pectoralis tendon
  • Traumatic tear of right pectoralis tendon
  • Traumatic tear of tendon of deltoid
  • Traumatic tear of tendon of right deltoid

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 INJ061
Sprains and strains, subsequent encounter
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

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.

Read the full article at MedlinePlus

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

Convert S46.811D 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 S46.811DOverview

Is S46.811D a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, subsequent encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What does the 7th character D in S46.811D mean?

The final character D marks a subsequent encounter: use it for routine care while the strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm is healing, after active treatment has ended.

What MS-DRG does S46.811D group to?

When strain of other muscles, fascia and tendons at shoulder and upper arm level, 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 S46.811D 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 strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, subsequent encounter on inpatient claims.

What is the ICD-9 equivalent of S46.811D?

Under the General Equivalence Mappings, strain of other muscles, fascia and tendons at shoulder and upper arm level, 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.