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S46.891A vs S46.892A

S46.891A (Other injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, initial encounter) compared with S46.892A (Other injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, initial encounter), from the official CMS tabular data. S46.891A and S46.892A code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S46.891A
Right
Other injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, initial encounter
S46.892A
Left
Other injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, initial encounter

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. S46.891A and S46.892A 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

S46.891AOther injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, initial encounterS46.892AOther injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, initial encounter
Billing statusBillableBillable
ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionOther injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, initial encounter is a billable ICD-10-CM diagnosis code (S46.891A).Other injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, initial encounter is a billable ICD-10-CM diagnosis code (S46.892A).
7th characterThe appropriate 7th character is to be added to each code from category S46The 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

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