ICD-10 · PDGM grouping
S46 Injury of muscle, fascia and tendon at shoulder and upper arm level
All 216 codes in the S46 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
216
Can lead a claim
108
Cannot lead a claim
108
What CMS assigns to S46
108 of the 216 codes group to Musculoskeletal Rehabilitation (66), Wound (36) and MMTA - Other (6); 108 are assigned no clinical group. None of the 216 is assigned a comorbidity subgroup. 108 of the 216 can lead a claim.
Every code in S46
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| S46.0 Injury of muscle(s) and tendon(s) of the rotator cuff of shoulder | ||||
| S46.00 Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of shoulder | ||||
| S46.001 Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder | ||||
| S46.001A | Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounterCMS: Unsp inj musc/tend the rotator cuff of r shoulder, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.001D | Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder, subsequent encounterCMS: Unsp inj musc/tend the rotator cuff of r shoulder, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.001S | Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder, sequelaCMS: Unsp inj musc/tend the rotator cuff of r shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.002 Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder | ||||
| S46.002A | Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounterCMS: Unsp inj musc/tend the rotator cuff of l shoulder, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.002D | Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder, subsequent encounterCMS: Unsp inj musc/tend the rotator cuff of l shoulder, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.002S | Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder, sequelaCMS: Unsp inj musc/tend the rotator cuff of l shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.009 Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder | ||||
| S46.009A | Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, initial encounterCMS: Unsp inj musc/tend the rotator cuff of unsp shoulder, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.009D | Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, subsequent encounterCMS: Unsp inj musc/tend the rotator cuff of unsp shoulder, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.009S | Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, sequelaCMS: Unsp inj musc/tend the rotator cuff of unsp shldr, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.01 Strain of muscle(s) and tendon(s) of the rotator cuff of shoulder | ||||
| S46.011 Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder | ||||
| S46.011A | Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounterCMS: Strain of musc/tend the rotator cuff of right shoulder, init | Can lead a claim | E | None |
| S46.011D | Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, subsequent encounterCMS: Strain of musc/tend the rotator cuff of right shoulder, subs | Can lead a claim | E | None |
| S46.011S | Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, sequelaCMS: Strain of musc/tend the rotator cuff of r shoulder, sequela | Can lead a claim | E | None |
| S46.012 Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder | ||||
| S46.012A | Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounterCMS: Strain of musc/tend the rotator cuff of left shoulder, init | Can lead a claim | E | None |
| S46.012D | Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, subsequent encounterCMS: Strain of musc/tend the rotator cuff of left shoulder, subs | Can lead a claim | E | None |
| S46.012S | Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, sequelaCMS: Strain of musc/tend the rotator cuff of l shoulder, sequela | Can lead a claim | E | None |
| S46.019 Strain of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder | ||||
| S46.019A | Strain of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, initial encounterCMS: Strain of musc/tend the rotator cuff of unsp shoulder, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.019D | Strain of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, subsequent encounterCMS: Strain of musc/tend the rotator cuff of unsp shoulder, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.019S | Strain of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, sequelaCMS: Strain musc/tend the rotator cuff of unsp shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.02 Laceration of muscle(s) and tendon(s) of the rotator cuff of shoulder | ||||
| S46.021 Laceration of muscle(s) and tendon(s) of the rotator cuff of right shoulder | ||||
| S46.021A | Laceration of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounterCMS: Laceration of musc/tend the rotator cuff of r shoulder, init | Can lead a claim | C | None |
| S46.021D | Laceration of muscle(s) and tendon(s) of the rotator cuff of right shoulder, subsequent encounterCMS: Laceration of musc/tend the rotator cuff of r shoulder, subs | Can lead a claim | C | None |
| S46.021S | Laceration of muscle(s) and tendon(s) of the rotator cuff of right shoulder, sequelaCMS: Lacerat musc/tend the rotator cuff of r shoulder, sequela | Can lead a claim | C | None |
| S46.022 Laceration of muscle(s) and tendon(s) of the rotator cuff of left shoulder | ||||
| S46.022A | Laceration of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounterCMS: Lacerat musc/tend the rotator cuff of left shoulder, init | Can lead a claim | C | None |
| S46.022D | Laceration of muscle(s) and tendon(s) of the rotator cuff of left shoulder, subsequent encounterCMS: Lacerat musc/tend the rotator cuff of left shoulder, subs | Can lead a claim | C | None |
| S46.022S | Laceration of muscle(s) and tendon(s) of the rotator cuff of left shoulder, sequelaCMS: Lacerat musc/tend the rotator cuff of left shoulder, sequela | Can lead a claim | C | None |
| S46.029 Laceration of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder | ||||
| S46.029A | Laceration of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, initial encounterCMS: Lacerat musc/tend the rotator cuff of unsp shoulder, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S46.029D | Laceration of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, subsequent encounterCMS: Lacerat musc/tend the rotator cuff of unsp shoulder, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.029S | Laceration of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, sequelaCMS: Lacerat musc/tend the rotator cuff of unsp shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.09 Other injury of muscle(s) and tendon(s) of the rotator cuff of shoulder | ||||
| S46.091 Other injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder | ||||
| S46.091A | Other injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounterCMS: Inj musc/tend the rotator cuff of right shoulder, init | Can lead a claim | A | None |
| S46.091D | Other injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder, subsequent encounterCMS: Inj musc/tend the rotator cuff of right shoulder, subs | Can lead a claim | A | None |
| S46.091S | Other injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder, sequelaCMS: Inj musc/tend the rotator cuff of right shoulder, sequela | Can lead a claim | A | None |
| S46.092 Other injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder | ||||
| S46.092A | Other injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounterCMS: Inj musc/tend the rotator cuff of left shoulder, init | Can lead a claim | A | None |
| S46.092D | Other injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder, subsequent encounterCMS: Inj musc/tend the rotator cuff of left shoulder, subs | Can lead a claim | A | None |
| S46.092S | Other injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder, sequelaCMS: Inj musc/tend the rotator cuff of left shoulder, sequela | Can lead a claim | A | None |
| S46.099 Other injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder | ||||
| S46.099A | Other injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, initial encounterCMS: Inj musc/tend the rotator cuff of unsp shoulder, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.099D | Other injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, subsequent encounterCMS: Inj musc/tend the rotator cuff of unsp shoulder, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.099S | Other injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, sequelaCMS: Inj musc/tend the rotator cuff of unsp shoulder, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.1 Injury of muscle, fascia and tendon of long head of biceps | ||||
| S46.10 Unspecified injury of muscle, fascia and tendon of long head of biceps | ||||
| S46.101 Unspecified injury of muscle, fascia and tendon of long head of biceps, right arm | ||||
| S46.101A | Unspecified injury of muscle, fascia and tendon of long head of biceps, right arm, initial encounterCMS: Unsp injury of musc/fasc/tend long hd bicep, right arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.101D | Unspecified injury of muscle, fascia and tendon of long head of biceps, right arm, subsequent encounterCMS: Unsp injury of musc/fasc/tend long hd bicep, right arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.101S | Unspecified injury of muscle, fascia and tendon of long head of biceps, right arm, sequelaCMS: Unsp inj musc/fasc/tend long hd bicep, right arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.102 Unspecified injury of muscle, fascia and tendon of long head of biceps, left arm | ||||
| S46.102A | Unspecified injury of muscle, fascia and tendon of long head of biceps, left arm, initial encounterCMS: Unsp injury of musc/fasc/tend long hd bicep, left arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.102D | Unspecified injury of muscle, fascia and tendon of long head of biceps, left arm, subsequent encounterCMS: Unsp injury of musc/fasc/tend long hd bicep, left arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.102S | Unspecified injury of muscle, fascia and tendon of long head of biceps, left arm, sequelaCMS: Unsp inj musc/fasc/tend long hd bicep, left arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.109 Unspecified injury of muscle, fascia and tendon of long head of biceps, unspecified arm | ||||
| S46.109A | Unspecified injury of muscle, fascia and tendon of long head of biceps, unspecified arm, initial encounterCMS: Unsp injury of musc/fasc/tend long hd bicep, unsp arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.109D | Unspecified injury of muscle, fascia and tendon of long head of biceps, unspecified arm, subsequent encounterCMS: Unsp injury of musc/fasc/tend long hd bicep, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.109S | Unspecified injury of muscle, fascia and tendon of long head of biceps, unspecified arm, sequelaCMS: Unsp inj musc/fasc/tend long hd bicep, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.11 Strain of muscle, fascia and tendon of long head of biceps | ||||
| S46.111 Strain of muscle, fascia and tendon of long head of biceps, right arm | ||||
| S46.111A | Strain of muscle, fascia and tendon of long head of biceps, right arm, initial encounterCMS: Strain of musc/fasc/tend long hd bicep, right arm, init | Can lead a claim | E | None |
| S46.111D | Strain of muscle, fascia and tendon of long head of biceps, right arm, subsequent encounterCMS: Strain of musc/fasc/tend long hd bicep, right arm, subs | Can lead a claim | E | None |
| S46.111S | Strain of muscle, fascia and tendon of long head of biceps, right arm, sequelaCMS: Strain of musc/fasc/tend long hd bicep, right arm, sequela | Can lead a claim | E | None |
| S46.112 Strain of muscle, fascia and tendon of long head of biceps, left arm | ||||
| S46.112A | Strain of muscle, fascia and tendon of long head of biceps, left arm, initial encounterCMS: Strain of musc/fasc/tend long head of biceps, left arm, init | Can lead a claim | E | None |
| S46.112D | Strain of muscle, fascia and tendon of long head of biceps, left arm, subsequent encounterCMS: Strain of musc/fasc/tend long head of biceps, left arm, subs | Can lead a claim | E | None |
| S46.112S | Strain of muscle, fascia and tendon of long head of biceps, left arm, sequelaCMS: Strain of musc/fasc/tend long hd bicep, left arm, sequela | Can lead a claim | E | None |
| S46.119 Strain of muscle, fascia and tendon of long head of biceps, unspecified arm | ||||
| S46.119A | Strain of muscle, fascia and tendon of long head of biceps, unspecified arm, initial encounterCMS: Strain of musc/fasc/tend long head of biceps, unsp arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.119D | Strain of muscle, fascia and tendon of long head of biceps, unspecified arm, subsequent encounterCMS: Strain of musc/fasc/tend long head of biceps, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.119S | Strain of muscle, fascia and tendon of long head of biceps, unspecified arm, sequelaCMS: Strain of musc/fasc/tend long hd bicep, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.12 Laceration of muscle, fascia and tendon of long head of biceps | ||||
| S46.121 Laceration of muscle, fascia and tendon of long head of biceps, right arm | ||||
| S46.121A | Laceration of muscle, fascia and tendon of long head of biceps, right arm, initial encounterCMS: Laceration of musc/fasc/tend long hd bicep, right arm, init | Can lead a claim | C | None |
| S46.121D | Laceration of muscle, fascia and tendon of long head of biceps, right arm, subsequent encounterCMS: Laceration of musc/fasc/tend long hd bicep, right arm, subs | Can lead a claim | C | None |
| S46.121S | Laceration of muscle, fascia and tendon of long head of biceps, right arm, sequelaCMS: Lacerat musc/fasc/tend long hd bicep, right arm, sequela | Can lead a claim | C | None |
| S46.122 Laceration of muscle, fascia and tendon of long head of biceps, left arm | ||||
| S46.122A | Laceration of muscle, fascia and tendon of long head of biceps, left arm, initial encounterCMS: Laceration of musc/fasc/tend long hd bicep, left arm, init | Can lead a claim | C | None |
| S46.122D | Laceration of muscle, fascia and tendon of long head of biceps, left arm, subsequent encounterCMS: Laceration of musc/fasc/tend long hd bicep, left arm, subs | Can lead a claim | C | None |
| S46.122S | Laceration of muscle, fascia and tendon of long head of biceps, left arm, sequelaCMS: Lacerat musc/fasc/tend long hd bicep, left arm, sequela | Can lead a claim | C | None |
| S46.129 Laceration of muscle, fascia and tendon of long head of biceps, unspecified arm | ||||
| S46.129A | Laceration of muscle, fascia and tendon of long head of biceps, unspecified arm, initial encounterCMS: Laceration of musc/fasc/tend long hd bicep, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S46.129D | Laceration of muscle, fascia and tendon of long head of biceps, unspecified arm, subsequent encounterCMS: Laceration of musc/fasc/tend long hd bicep, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.129S | Laceration of muscle, fascia and tendon of long head of biceps, unspecified arm, sequelaCMS: Lacerat musc/fasc/tend long hd bicep, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.19 Other injury of muscle, fascia and tendon of long head of biceps | ||||
| S46.191 Other injury of muscle, fascia and tendon of long head of biceps, right arm | ||||
| S46.191A | Other injury of muscle, fascia and tendon of long head of biceps, right arm, initial encounterCMS: Inj musc/fasc/tend long head of biceps, right arm, init | Can lead a claim | E | None |
| S46.191D | Other injury of muscle, fascia and tendon of long head of biceps, right arm, subsequent encounterCMS: Inj musc/fasc/tend long head of biceps, right arm, subs | Can lead a claim | E | None |
| S46.191S | Other injury of muscle, fascia and tendon of long head of biceps, right arm, sequelaCMS: Inj musc/fasc/tend long head of biceps, right arm, sequela | Can lead a claim | E | None |
| S46.192 Other injury of muscle, fascia and tendon of long head of biceps, left arm | ||||
| S46.192A | Other injury of muscle, fascia and tendon of long head of biceps, left arm, initial encounterCMS: Inj musc/fasc/tend long head of biceps, left arm, init | Can lead a claim | E | None |
| S46.192D | Other injury of muscle, fascia and tendon of long head of biceps, left arm, subsequent encounterCMS: Inj musc/fasc/tend long head of biceps, left arm, subs | Can lead a claim | E | None |
| S46.192S | Other injury of muscle, fascia and tendon of long head of biceps, left arm, sequelaCMS: Inj musc/fasc/tend long head of biceps, left arm, sequela | Can lead a claim | E | None |
| S46.199 Other injury of muscle, fascia and tendon of long head of biceps, unspecified arm | ||||
| S46.199A | Other injury of muscle, fascia and tendon of long head of biceps, unspecified arm, initial encounterCMS: Inj musc/fasc/tend long head of biceps, unsp arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.199D | Other injury of muscle, fascia and tendon of long head of biceps, unspecified arm, subsequent encounterCMS: Inj musc/fasc/tend long head of biceps, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.199S | Other injury of muscle, fascia and tendon of long head of biceps, unspecified arm, sequelaCMS: Inj musc/fasc/tend long head of biceps, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.2 Injury of muscle, fascia and tendon of other parts of biceps | ||||
| S46.20 Unspecified injury of muscle, fascia and tendon of other parts of biceps | ||||
| S46.201 Unspecified injury of muscle, fascia and tendon of other parts of biceps, right arm | ||||
| S46.201A | Unspecified injury of muscle, fascia and tendon of other parts of biceps, right arm, initial encounterCMS: Unsp injury of musc/fasc/tend prt biceps, right arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.201D | Unspecified injury of muscle, fascia and tendon of other parts of biceps, right arm, subsequent encounterCMS: Unsp injury of musc/fasc/tend prt biceps, right arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.201S | Unspecified injury of muscle, fascia and tendon of other parts of biceps, right arm, sequelaCMS: Unsp injury of musc/fasc/tend prt biceps, right arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.202 Unspecified injury of muscle, fascia and tendon of other parts of biceps, left arm | ||||
| S46.202A | Unspecified injury of muscle, fascia and tendon of other parts of biceps, left arm, initial encounterCMS: Unsp injury of musc/fasc/tend prt biceps, left arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.202D | Unspecified injury of muscle, fascia and tendon of other parts of biceps, left arm, subsequent encounterCMS: Unsp injury of musc/fasc/tend prt biceps, left arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.202S | Unspecified injury of muscle, fascia and tendon of other parts of biceps, left arm, sequelaCMS: Unsp injury of musc/fasc/tend prt biceps, left arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.209 Unspecified injury of muscle, fascia and tendon of other parts of biceps, unspecified arm | ||||
| S46.209A | Unspecified injury of muscle, fascia and tendon of other parts of biceps, unspecified arm, initial encounterCMS: Unsp injury of musc/fasc/tend prt biceps, unsp arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.209D | Unspecified injury of muscle, fascia and tendon of other parts of biceps, unspecified arm, subsequent encounterCMS: Unsp injury of musc/fasc/tend prt biceps, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.209S | Unspecified injury of muscle, fascia and tendon of other parts of biceps, unspecified arm, sequelaCMS: Unsp injury of musc/fasc/tend prt biceps, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.21 Strain of muscle, fascia and tendon of other parts of biceps | ||||
| S46.211 Strain of muscle, fascia and tendon of other parts of biceps, right arm | ||||
| S46.211A | Strain of muscle, fascia and tendon of other parts of biceps, right arm, initial encounterCMS: Strain of musc/fasc/tend prt biceps, right arm, init | Can lead a claim | E | None |
| S46.211D | Strain of muscle, fascia and tendon of other parts of biceps, right arm, subsequent encounterCMS: Strain of musc/fasc/tend prt biceps, right arm, subs | Can lead a claim | E | None |
| S46.211S | Strain of muscle, fascia and tendon of other parts of biceps, right arm, sequelaCMS: Strain of musc/fasc/tend prt biceps, right arm, sequela | Can lead a claim | E | None |
| S46.212 Strain of muscle, fascia and tendon of other parts of biceps, left arm | ||||
| S46.212A | Strain of muscle, fascia and tendon of other parts of biceps, left arm, initial encounterCMS: Strain of musc/fasc/tend prt biceps, left arm, init | Can lead a claim | E | None |
| S46.212D | Strain of muscle, fascia and tendon of other parts of biceps, left arm, subsequent encounterCMS: Strain of musc/fasc/tend prt biceps, left arm, subs | Can lead a claim | E | None |
| S46.212S | Strain of muscle, fascia and tendon of other parts of biceps, left arm, sequelaCMS: Strain of musc/fasc/tend prt biceps, left arm, sequela | Can lead a claim | E | None |
| S46.219 Strain of muscle, fascia and tendon of other parts of biceps, unspecified arm | ||||
| S46.219A | Strain of muscle, fascia and tendon of other parts of biceps, unspecified arm, initial encounterCMS: Strain of musc/fasc/tend prt biceps, unsp arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.219D | Strain of muscle, fascia and tendon of other parts of biceps, unspecified arm, subsequent encounterCMS: Strain of musc/fasc/tend prt biceps, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.219S | Strain of muscle, fascia and tendon of other parts of biceps, unspecified arm, sequelaCMS: Strain of musc/fasc/tend prt biceps, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.22 Laceration of muscle, fascia and tendon of other parts of biceps | ||||
| S46.221 Laceration of muscle, fascia and tendon of other parts of biceps, right arm | ||||
| S46.221A | Laceration of muscle, fascia and tendon of other parts of biceps, right arm, initial encounterCMS: Laceration of musc/fasc/tend prt biceps, right arm, init | Can lead a claim | C | None |
| S46.221D | Laceration of muscle, fascia and tendon of other parts of biceps, right arm, subsequent encounterCMS: Laceration of musc/fasc/tend prt biceps, right arm, subs | Can lead a claim | C | None |
| S46.221S | Laceration of muscle, fascia and tendon of other parts of biceps, right arm, sequelaCMS: Laceration of musc/fasc/tend prt biceps, right arm, sequela | Can lead a claim | C | None |
| S46.222 Laceration of muscle, fascia and tendon of other parts of biceps, left arm | ||||
| S46.222A | Laceration of muscle, fascia and tendon of other parts of biceps, left arm, initial encounterCMS: Laceration of musc/fasc/tend prt biceps, left arm, init | Can lead a claim | C | None |
| S46.222D | Laceration of muscle, fascia and tendon of other parts of biceps, left arm, subsequent encounterCMS: Laceration of musc/fasc/tend prt biceps, left arm, subs | Can lead a claim | C | None |
| S46.222S | Laceration of muscle, fascia and tendon of other parts of biceps, left arm, sequelaCMS: Laceration of musc/fasc/tend prt biceps, left arm, sequela | Can lead a claim | C | None |
| S46.229 Laceration of muscle, fascia and tendon of other parts of biceps, unspecified arm | ||||
| S46.229A | Laceration of muscle, fascia and tendon of other parts of biceps, unspecified arm, initial encounterCMS: Laceration of musc/fasc/tend prt biceps, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S46.229D | Laceration of muscle, fascia and tendon of other parts of biceps, unspecified arm, subsequent encounterCMS: Laceration of musc/fasc/tend prt biceps, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.229S | Laceration of muscle, fascia and tendon of other parts of biceps, unspecified arm, sequelaCMS: Laceration of musc/fasc/tend prt biceps, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.29 Other injury of muscle, fascia and tendon of other parts of biceps | ||||
| S46.291 Other injury of muscle, fascia and tendon of other parts of biceps, right arm | ||||
| S46.291A | Other injury of muscle, fascia and tendon of other parts of biceps, right arm, initial encounterCMS: Inj muscle, fascia and tendon of prt biceps, right arm, init | Can lead a claim | E | None |
| S46.291D | Other injury of muscle, fascia and tendon of other parts of biceps, right arm, subsequent encounterCMS: Inj muscle, fascia and tendon of prt biceps, right arm, subs | Can lead a claim | E | None |
| S46.291S | Other injury of muscle, fascia and tendon of other parts of biceps, right arm, sequelaCMS: Inj musc/fasc/tend prt biceps, right arm, sequela | Can lead a claim | E | None |
| S46.292 Other injury of muscle, fascia and tendon of other parts of biceps, left arm | ||||
| S46.292A | Other injury of muscle, fascia and tendon of other parts of biceps, left arm, initial encounterCMS: Inj muscle, fascia and tendon of prt biceps, left arm, init | Can lead a claim | E | None |
| S46.292D | Other injury of muscle, fascia and tendon of other parts of biceps, left arm, subsequent encounterCMS: Inj muscle, fascia and tendon of prt biceps, left arm, subs | Can lead a claim | E | None |
| S46.292S | Other injury of muscle, fascia and tendon of other parts of biceps, left arm, sequelaCMS: Inj musc/fasc/tend prt biceps, left arm, sequela | Can lead a claim | E | None |
| S46.299 Other injury of muscle, fascia and tendon of other parts of biceps, unspecified arm | ||||
| S46.299A | Other injury of muscle, fascia and tendon of other parts of biceps, unspecified arm, initial encounterCMS: Inj muscle, fascia and tendon of prt biceps, unsp arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.299D | Other injury of muscle, fascia and tendon of other parts of biceps, unspecified arm, subsequent encounterCMS: Inj muscle, fascia and tendon of prt biceps, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.299S | Other injury of muscle, fascia and tendon of other parts of biceps, unspecified arm, sequelaCMS: Inj musc/fasc/tend prt biceps, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.3 Injury of muscle, fascia and tendon of triceps | ||||
| S46.30 Unspecified injury of muscle, fascia and tendon of triceps | ||||
| S46.301 Unspecified injury of muscle, fascia and tendon of triceps, right arm | ||||
| S46.301A | Unspecified injury of muscle, fascia and tendon of triceps, right arm, initial encounterCMS: Unsp injury of musc/fasc/tend triceps, right arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.301D | Unspecified injury of muscle, fascia and tendon of triceps, right arm, subsequent encounterCMS: Unsp injury of musc/fasc/tend triceps, right arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.301S | Unspecified injury of muscle, fascia and tendon of triceps, right arm, sequelaCMS: Unsp injury of musc/fasc/tend triceps, right arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.302 Unspecified injury of muscle, fascia and tendon of triceps, left arm | ||||
| S46.302A | Unspecified injury of muscle, fascia and tendon of triceps, left arm, initial encounterCMS: Unsp injury of musc/fasc/tend triceps, left arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.302D | Unspecified injury of muscle, fascia and tendon of triceps, left arm, subsequent encounterCMS: Unsp injury of musc/fasc/tend triceps, left arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.302S | Unspecified injury of muscle, fascia and tendon of triceps, left arm, sequelaCMS: Unsp injury of musc/fasc/tend triceps, left arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.309 Unspecified injury of muscle, fascia and tendon of triceps, unspecified arm | ||||
| S46.309A | Unspecified injury of muscle, fascia and tendon of triceps, unspecified arm, initial encounterCMS: Unsp injury of musc/fasc/tend triceps, unsp arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.309D | Unspecified injury of muscle, fascia and tendon of triceps, unspecified arm, subsequent encounterCMS: Unsp injury of musc/fasc/tend triceps, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.309S | Unspecified injury of muscle, fascia and tendon of triceps, unspecified arm, sequelaCMS: Unsp injury of musc/fasc/tend triceps, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.31 Strain of muscle, fascia and tendon of triceps | ||||
| S46.311 Strain of muscle, fascia and tendon of triceps, right arm | ||||
| S46.311A | Strain of muscle, fascia and tendon of triceps, right arm, initial encounterCMS: Strain of musc/fasc/tend triceps, right arm, init | Can lead a claim | E | None |
| S46.311D | Strain of muscle, fascia and tendon of triceps, right arm, subsequent encounterCMS: Strain of musc/fasc/tend triceps, right arm, subs | Can lead a claim | E | None |
| S46.311S | Strain of muscle, fascia and tendon of triceps, right arm, sequelaCMS: Strain of musc/fasc/tend triceps, right arm, sequela | Can lead a claim | E | None |
| S46.312 Strain of muscle, fascia and tendon of triceps, left arm | ||||
| S46.312A | Strain of muscle, fascia and tendon of triceps, left arm, initial encounterCMS: Strain of musc/fasc/tend triceps, left arm, init | Can lead a claim | E | None |
| S46.312D | Strain of muscle, fascia and tendon of triceps, left arm, subsequent encounterCMS: Strain of musc/fasc/tend triceps, left arm, subs | Can lead a claim | E | None |
| S46.312S | Strain of muscle, fascia and tendon of triceps, left arm, sequelaCMS: Strain of musc/fasc/tend triceps, left arm, sequela | Can lead a claim | E | None |
| S46.319 Strain of muscle, fascia and tendon of triceps, unspecified arm | ||||
| S46.319A | Strain of muscle, fascia and tendon of triceps, unspecified arm, initial encounterCMS: Strain of musc/fasc/tend triceps, unsp arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.319D | Strain of muscle, fascia and tendon of triceps, unspecified arm, subsequent encounterCMS: Strain of musc/fasc/tend triceps, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.319S | Strain of muscle, fascia and tendon of triceps, unspecified arm, sequelaCMS: Strain of musc/fasc/tend triceps, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.32 Laceration of muscle, fascia and tendon of triceps | ||||
| S46.321 Laceration of muscle, fascia and tendon of triceps, right arm | ||||
| S46.321A | Laceration of muscle, fascia and tendon of triceps, right arm, initial encounterCMS: Laceration of musc/fasc/tend triceps, right arm, init | Can lead a claim | C | None |
| S46.321D | Laceration of muscle, fascia and tendon of triceps, right arm, subsequent encounterCMS: Laceration of musc/fasc/tend triceps, right arm, subs | Can lead a claim | C | None |
| S46.321S | Laceration of muscle, fascia and tendon of triceps, right arm, sequelaCMS: Laceration of musc/fasc/tend triceps, right arm, sequela | Can lead a claim | C | None |
| S46.322 Laceration of muscle, fascia and tendon of triceps, left arm | ||||
| S46.322A | Laceration of muscle, fascia and tendon of triceps, left arm, initial encounterCMS: Laceration of musc/fasc/tend triceps, left arm, init | Can lead a claim | C | None |
| S46.322D | Laceration of muscle, fascia and tendon of triceps, left arm, subsequent encounterCMS: Laceration of musc/fasc/tend triceps, left arm, subs | Can lead a claim | C | None |
| S46.322S | Laceration of muscle, fascia and tendon of triceps, left arm, sequelaCMS: Laceration of musc/fasc/tend triceps, left arm, sequela | Can lead a claim | C | None |
| S46.329 Laceration of muscle, fascia and tendon of triceps, unspecified arm | ||||
| S46.329A | Laceration of muscle, fascia and tendon of triceps, unspecified arm, initial encounterCMS: Laceration of musc/fasc/tend triceps, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S46.329D | Laceration of muscle, fascia and tendon of triceps, unspecified arm, subsequent encounterCMS: Laceration of musc/fasc/tend triceps, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.329S | Laceration of muscle, fascia and tendon of triceps, unspecified arm, sequelaCMS: Laceration of musc/fasc/tend triceps, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.39 Other injury of muscle, fascia and tendon of triceps | ||||
| S46.391 Other injury of muscle, fascia and tendon of triceps, right arm | ||||
| S46.391A | Other injury of muscle, fascia and tendon of triceps, right arm, initial encounterCMS: Inj muscle, fascia and tendon of triceps, right arm, init | Can lead a claim | E | None |
| S46.391D | Other injury of muscle, fascia and tendon of triceps, right arm, subsequent encounterCMS: Inj muscle, fascia and tendon of triceps, right arm, subs | Can lead a claim | E | None |
| S46.391S | Other injury of muscle, fascia and tendon of triceps, right arm, sequelaCMS: Inj muscle, fascia and tendon of triceps, right arm, sequela | Can lead a claim | E | None |
| S46.392 Other injury of muscle, fascia and tendon of triceps, left arm | ||||
| S46.392A | Other injury of muscle, fascia and tendon of triceps, left arm, initial encounterCMS: Inj muscle, fascia and tendon of triceps, left arm, init | Can lead a claim | E | None |
| S46.392D | Other injury of muscle, fascia and tendon of triceps, left arm, subsequent encounterCMS: Inj muscle, fascia and tendon of triceps, left arm, subs | Can lead a claim | E | None |
| S46.392S | Other injury of muscle, fascia and tendon of triceps, left arm, sequelaCMS: Inj muscle, fascia and tendon of triceps, left arm, sequela | Can lead a claim | E | None |
| S46.399 Other injury of muscle, fascia and tendon of triceps, unspecified arm | ||||
| S46.399A | Other injury of muscle, fascia and tendon of triceps, unspecified arm, initial encounterCMS: Inj muscle, fascia and tendon of triceps, unsp arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.399D | Other injury of muscle, fascia and tendon of triceps, unspecified arm, subsequent encounterCMS: Inj muscle, fascia and tendon of triceps, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.399S | Other injury of muscle, fascia and tendon of triceps, unspecified arm, sequelaCMS: Inj muscle, fascia and tendon of triceps, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.8 Injury of other muscles, fascia and tendons at shoulder and upper arm level | ||||
| S46.80 Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level | ||||
| S46.801 Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm | ||||
| S46.801A | Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, initial encounterCMS: Unsp inj musc/fasc/tend at shldr/up arm, right arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.801D | Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, subsequent encounterCMS: Unsp inj musc/fasc/tend at shldr/up arm, right arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.801S | Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, sequelaCMS: Unsp inj musc/fasc/tend at shldr/up arm, right arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.802 Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm | ||||
| S46.802A | Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, initial encounterCMS: Unsp inj musc/fasc/tend at shldr/up arm, left arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.802D | Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, subsequent encounterCMS: Unsp inj musc/fasc/tend at shldr/up arm, left arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.802S | Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, sequelaCMS: Unsp inj musc/fasc/tend at shldr/up arm, left arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.809 Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm | ||||
| S46.809A | Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, initial encounterCMS: Unsp inj musc/fasc/tend at shldr/up arm, unsp arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.809D | Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, subsequent encounterCMS: Unsp inj musc/fasc/tend at shldr/up arm, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.809S | Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, sequelaCMS: Unsp inj musc/fasc/tend at shldr/up arm, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.81 Strain of other muscles, fascia and tendons at shoulder and upper arm level | ||||
| S46.811 Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm | ||||
| S46.811A | Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, initial encounterCMS: Strain of musc/fasc/tend at shldr/up arm, right arm, init | Can lead a claim | E | None |
| S46.811D | Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, subsequent encounterCMS: Strain of musc/fasc/tend at shldr/up arm, right arm, subs | Can lead a claim | E | None |
| S46.811S | Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm, sequelaCMS: Strain of musc/fasc/tend at shldr/up arm, right arm, sequela | Can lead a claim | E | None |
| S46.812 Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm | ||||
| S46.812A | Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, initial encounterCMS: Strain of musc/fasc/tend at shldr/up arm, left arm, init | Can lead a claim | E | None |
| S46.812D | Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, subsequent encounterCMS: Strain of musc/fasc/tend at shldr/up arm, left arm, subs | Can lead a claim | E | None |
| S46.812S | Strain of other muscles, fascia and tendons at shoulder and upper arm level, left arm, sequelaCMS: Strain of musc/fasc/tend at shldr/up arm, left arm, sequela | Can lead a claim | E | None |
| S46.819 Strain of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm | ||||
| S46.819A | Strain of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, initial encounterCMS: Strain of musc/fasc/tend at shldr/up arm, unsp arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.819D | Strain of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, subsequent encounterCMS: Strain of musc/fasc/tend at shldr/up arm, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.819S | Strain of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, sequelaCMS: Strain of musc/fasc/tend at shldr/up arm, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.82 Laceration of other muscles, fascia and tendons at shoulder and upper arm level | ||||
| S46.821 Laceration of other muscles, fascia and tendons at shoulder and upper arm level, right arm | ||||
| S46.821A | Laceration of other muscles, fascia and tendons at shoulder and upper arm level, right arm, initial encounterCMS: Lacerat musc/fasc/tend at shldr/up arm, right arm, init | Can lead a claim | C | None |
| S46.821D | Laceration of other muscles, fascia and tendons at shoulder and upper arm level, right arm, subsequent encounterCMS: Lacerat musc/fasc/tend at shldr/up arm, right arm, subs | Can lead a claim | C | None |
| S46.821S | Laceration of other muscles, fascia and tendons at shoulder and upper arm level, right arm, sequelaCMS: Lacerat musc/fasc/tend at shldr/up arm, right arm, sequela | Can lead a claim | C | None |
| S46.822 Laceration of other muscles, fascia and tendons at shoulder and upper arm level, left arm | ||||
| S46.822A | Laceration of other muscles, fascia and tendons at shoulder and upper arm level, left arm, initial encounterCMS: Laceration of musc/fasc/tend at shldr/up arm, left arm, init | Can lead a claim | C | None |
| S46.822D | Laceration of other muscles, fascia and tendons at shoulder and upper arm level, left arm, subsequent encounterCMS: Laceration of musc/fasc/tend at shldr/up arm, left arm, subs | Can lead a claim | C | None |
| S46.822S | Laceration of other muscles, fascia and tendons at shoulder and upper arm level, left arm, sequelaCMS: Lacerat musc/fasc/tend at shldr/up arm, left arm, sequela | Can lead a claim | C | None |
| S46.829 Laceration of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm | ||||
| S46.829A | Laceration of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, initial encounterCMS: Laceration of musc/fasc/tend at shldr/up arm, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S46.829D | Laceration of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, subsequent encounterCMS: Laceration of musc/fasc/tend at shldr/up arm, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.829S | Laceration of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, sequelaCMS: Lacerat musc/fasc/tend at shldr/up arm, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.89 Other injury of other muscles, fascia and tendons at shoulder and upper arm level | ||||
| S46.891 Other injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm | ||||
| S46.891A | Other injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, initial encounterCMS: Inj musc/fasc/tend at shldr/up arm, right arm, init | Can lead a claim | E | None |
| S46.891D | Other injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, subsequent encounterCMS: Inj musc/fasc/tend at shldr/up arm, right arm, subs | Can lead a claim | E | None |
| S46.891S | Other injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, sequelaCMS: Inj musc/fasc/tend at shldr/up arm, right arm, sequela | Can lead a claim | E | None |
| S46.892 Other injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm | ||||
| S46.892A | Other injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, initial encounterCMS: Inj musc/fasc/tend at shldr/up arm, left arm, init | Can lead a claim | E | None |
| S46.892D | Other injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, subsequent encounterCMS: Inj musc/fasc/tend at shldr/up arm, left arm, subs | Can lead a claim | E | None |
| S46.892S | Other injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, sequelaCMS: Inj musc/fasc/tend at shldr/up arm, left arm, sequela | Can lead a claim | E | None |
| S46.899 Other injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm | ||||
| S46.899A | Other injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, initial encounterCMS: Inj musc/fasc/tend at shldr/up arm, unsp arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.899D | Other injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, subsequent encounterCMS: Inj musc/fasc/tend at shldr/up arm, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.899S | Other injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm, sequelaCMS: Inj musc/fasc/tend at shldr/up arm, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.9 Injury of unspecified muscle, fascia and tendon at shoulder and upper arm level | ||||
| S46.90 Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level | ||||
| S46.901 Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm | ||||
| S46.901A | Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, initial encounterCMS: Unsp inj unsp musc/fasc/tend at shldr/up arm, r arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.901D | Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, subsequent encounterCMS: Unsp inj unsp musc/fasc/tend at shldr/up arm, r arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.901S | Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, sequelaCMS: Unsp inj unsp musc/fasc/tend at shldr/up arm, r arm, sqla | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.902 Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm | ||||
| S46.902A | Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, initial encounterCMS: Unsp inj unsp musc/fasc/tend at shldr/up arm, left arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.902D | Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, subsequent encounterCMS: Unsp inj unsp musc/fasc/tend at shldr/up arm, left arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.902S | Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, sequelaCMS: Unsp inj unsp musc/fasc/tend at shldr/up arm, left arm, sqla | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.909 Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm | ||||
| S46.909A | Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, initial encounterCMS: Unsp inj unsp musc/fasc/tend at shldr/up arm, unsp arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.909D | Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, subsequent encounterCMS: Unsp inj unsp musc/fasc/tend at shldr/up arm, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.909S | Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, sequelaCMS: Unsp inj unsp musc/fasc/tend at shldr/up arm, unsp arm, sqla | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.91 Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level | ||||
| S46.911 Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm | ||||
| S46.911A | Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, initial encounterCMS: Strain unsp musc/fasc/tend at shldr/up arm, right arm, init | Can lead a claim | E | None |
| S46.911D | Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, subsequent encounterCMS: Strain unsp musc/fasc/tend at shldr/up arm, right arm, subs | Can lead a claim | E | None |
| S46.911S | Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, sequelaCMS: Strain unsp musc/fasc/tend at shldr/up arm, right arm, sqla | Can lead a claim | E | None |
| S46.912 Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm | ||||
| S46.912A | Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, initial encounterCMS: Strain unsp musc/fasc/tend at shldr/up arm, left arm, init | Can lead a claim | E | None |
| S46.912D | Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, subsequent encounterCMS: Strain unsp musc/fasc/tend at shldr/up arm, left arm, subs | Can lead a claim | E | None |
| S46.912S | Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, sequelaCMS: Strain unsp musc/fasc/tend at shldr/up arm, left arm, sqla | Can lead a claim | E | None |
| S46.919 Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm | ||||
| S46.919A | Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, initial encounterCMS: Strain unsp musc/fasc/tend at shldr/up arm, unsp arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.919D | Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, subsequent encounterCMS: Strain unsp musc/fasc/tend at shldr/up arm, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.919S | Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, sequelaCMS: Strain unsp musc/fasc/tend at shldr/up arm, unsp arm, sqla | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.92 Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level | ||||
| S46.921 Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm | ||||
| S46.921A | Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, initial encounterCMS: Lacerat unsp musc/fasc/tend at shldr/up arm, right arm, init | Can lead a claim | C | None |
| S46.921D | Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, subsequent encounterCMS: Lacerat unsp musc/fasc/tend at shldr/up arm, right arm, subs | Can lead a claim | C | None |
| S46.921S | Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, sequelaCMS: Lacerat unsp musc/fasc/tend at shldr/up arm, right arm, sqla | Can lead a claim | C | None |
| S46.922 Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm | ||||
| S46.922A | Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, initial encounterCMS: Lacerat unsp musc/fasc/tend at shldr/up arm, left arm, init | Can lead a claim | C | None |
| S46.922D | Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, subsequent encounterCMS: Lacerat unsp musc/fasc/tend at shldr/up arm, left arm, subs | Can lead a claim | C | None |
| S46.922S | Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, sequelaCMS: Lacerat unsp musc/fasc/tend at shldr/up arm, left arm, sqla | Can lead a claim | C | None |
| S46.929 Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm | ||||
| S46.929A | Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, initial encounterCMS: Lacerat unsp musc/fasc/tend at shldr/up arm, unsp arm, init | Cannot lead a claimUnspecified diagnosis code not acceptable as principal diagnosis since there is a more specific code available that would further accurately identify the condition | None | None |
| S46.929D | Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, subsequent encounterCMS: Lacerat unsp musc/fasc/tend at shldr/up arm, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.929S | Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, sequelaCMS: Lacerat unsp musc/fasc/tend at shldr/up arm, unsp arm, sqla | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.99 Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level | ||||
| S46.991 Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm | ||||
| S46.991A | Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, initial encounterCMS: Inj unsp musc/fasc/tend at shldr/up arm, right arm, init | Can lead a claim | E | None |
| S46.991D | Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, subsequent encounterCMS: Inj unsp musc/fasc/tend at shldr/up arm, right arm, subs | Can lead a claim | E | None |
| S46.991S | Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, sequelaCMS: Inj unsp musc/fasc/tend at shldr/up arm, right arm, sequela | Can lead a claim | E | None |
| S46.992 Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm | ||||
| S46.992A | Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, initial encounterCMS: Inj unsp musc/fasc/tend at shldr/up arm, left arm, init | Can lead a claim | E | None |
| S46.992D | Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, subsequent encounterCMS: Inj unsp musc/fasc/tend at shldr/up arm, left arm, subs | Can lead a claim | E | None |
| S46.992S | Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, sequelaCMS: Inj unsp musc/fasc/tend at shldr/up arm, left arm, sequela | Can lead a claim | E | None |
| S46.999 Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm | ||||
| S46.999A | Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, initial encounterCMS: Inj unsp musc/fasc/tend at shldr/up arm, unsp arm, init | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.999D | Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, subsequent encounterCMS: Inj unsp musc/fasc/tend at shldr/up arm, unsp arm, subs | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| S46.999S | Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, sequelaCMS: Inj unsp musc/fasc/tend at shldr/up arm, unsp arm, sequela | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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