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S46.891S vs S46.892S

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

Relationship

Review

Laterality relationship

S46.891S
Right
Other injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, sequela
S46.892S
Left
Other 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. S46.891S and S46.892S 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

S46.891SOther injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, sequelaS46.892SOther injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, sequela
Billing statusBillableBillable
ClassificationS00-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)
DefinitionOther injury of other muscles, fascia and tendons at shoulder and upper arm level, right arm, sequela is a billable ICD-10-CM diagnosis code (S46.891S).Other injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm, sequela is a billable ICD-10-CM diagnosis code (S46.892S).
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