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S46.892 vs S46.899

S46.892 (Other injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm) compared with S46.899 (Other injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm), from the official CMS tabular data. S46.892 and S46.899 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S46.892
Left
Other injury of other muscles, fascia and tendons at shoulder and upper arm level, left arm
S46.899
Unspecified
Other injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm

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. S46.892 and S46.899 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

S46.892Other injury of other muscles, fascia and tendons at shoulder and upper arm level, left armS46.899Other injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm
Billing statusNon-billable header

Report instead: S46.892A, S46.892D, S46.892S

Non-billable header

Report instead: S46.899A, S46.899D, S46.899S

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, left arm is a non-billable ICD-10-CM category code (S46.892).Other injury of other muscles, fascia and tendons at shoulder and upper arm level, unspecified arm is a non-billable ICD-10-CM category code (S46.899).
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