S46.991A vs S46.999A

S46.991A (Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, initial encounter) compared with S46.999A (Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, initial encounter), from the official CMS tabular data. S46.991A and S46.999A code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S46.991A

Right

Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, initial encounter

↔

S46.999A

Unspecified

Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified 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. S46.991A and S46.999A 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

	S46.991AOther injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, initial encounter	S46.999AOther injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, initial encounter
Billing status	Billable	Billable
Classification	S00-T88 — Injury, poisoning and certain other consequences of external causes	S00-T88 — Injury, poisoning and certain other consequences of external causes
Definition	Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, initial encounter is a billable ICD-10-CM diagnosis code (S46.991A).	Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, initial encounter is a billable ICD-10-CM diagnosis code (S46.999A).
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