S46.801S vs S46.802S

S46.801S (Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, sequela) compared with S46.802S (Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, sequela), from the official CMS tabular data. S46.801S and S46.802S code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S46.801S

Right

Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, sequela

↔

S46.802S

Left

Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, sequela

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S46.801S and S46.802S name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

	S46.801SUnspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, sequela	S46.802SUnspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, sequela
Billing status	Billable	Billable
Classification	S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)	S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
Definition	Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, sequela is a billable ICD-10-CM diagnosis code (S46.801S).	Unspecified injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, sequela is a billable ICD-10-CM diagnosis code (S46.802S).
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