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S46.911 vs S46.919

S46.911 (Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm) compared with S46.919 (Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm), from the official CMS tabular data. S46.911 and S46.919 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S46.911
Right
Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm
S46.919
Unspecified
Strain of unspecified muscle, fascia and tendon 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. S46.911 and S46.919 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

S46.911Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, right armS46.919Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm
Billing statusNon-billable header

Report instead: S46.911A, S46.911D, S46.911S

Non-billable header

Report instead: S46.919A, S46.919D, S46.919S

ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionStrain of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm is a non-billable ICD-10-CM category code (S46.911).Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm is a non-billable ICD-10-CM category code (S46.919).
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