S46.211A vs S46.211D

S46.211A (Strain of muscle, fascia and tendon of other parts of biceps, right arm, initial encounter) compared with S46.211D (Strain of muscle, fascia and tendon of other parts of biceps, right arm, subsequent encounter), from the official CMS tabular data. S46.211A and S46.211D code the same injury at a different phase of treatment. MedCoder-derived

Relationship

Review

Encounter relationship

S46.211A

Initial encounter

Strain of muscle, fascia and tendon of other parts of biceps, right arm, initial encounter

↔

S46.211D

Subsequent encounter

Strain of muscle, fascia and tendon of other parts of biceps, right arm, subsequent encounter

Same underlying diagnosis, different encounter phase.

The 7th character records the phase of care for the encounter being coded, so a single encounter takes one of these characters, not several. Review whether both phases belong on the same episode of care.

Source: ICD-10-CM Official Guidelines, Section I.C.19.a

Can these codes be reported together?

Same injury, other encounter phase. S46.211A and S46.211D code the same injury at a different phase of treatment, set by the 7th character.

The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.

Side by side

	S46.211AStrain of muscle, fascia and tendon of other parts of biceps, right arm, initial encounter	S46.211DStrain of muscle, fascia and tendon of other parts of biceps, right arm, subsequent encounter
Billing status	Billable	Billable
Classification	S00-T88 — Injury, poisoning and certain other consequences of external causes	S00-T88 — Injury, poisoning and certain other consequences of external causes
Definition	Strain of muscle, fascia and tendon of other parts of biceps, right arm, initial encounter is a billable ICD-10-CM diagnosis code (S46.211A).	Strain of muscle, fascia and tendon of other parts of biceps, right arm, subsequent encounter is a billable ICD-10-CM diagnosis code (S46.211D).
7th character	The appropriate 7th character is to be added to each code from category S46	The appropriate 7th character is to be added to each code from category S46
Includes	injuries of axilla injuries of scapular region	injuries of axilla injuries of scapular region

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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources