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S56.812 vs S56.819

S56.812 (Strain of other muscles, fascia and tendons at forearm level, left arm) compared with S56.819 (Strain of other muscles, fascia and tendons at forearm level, unspecified arm), from the official CMS tabular data. S56.812 and S56.819 code the same condition on opposite sides. MedCoder-derived

Relationship

Review

Laterality relationship

S56.812
Left
Strain of other muscles, fascia and tendons at forearm level, left arm
S56.819
Unspecified
Strain of other muscles, fascia and tendons at forearm 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. S56.812 and S56.819 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

S56.812Strain of other muscles, fascia and tendons at forearm level, left armS56.819Strain of other muscles, fascia and tendons at forearm level, unspecified arm
Billing statusNon-billable header

Report instead: S56.812A, S56.812D, S56.812S

Non-billable header

Report instead: S56.819A, S56.819D, S56.819S

ClassificationS00-T88 — Injury, poisoning and certain other consequences of external causesS00-T88 — Injury, poisoning and certain other consequences of external causes
DefinitionStrain of other muscles, fascia and tendons at forearm level, left arm is a non-billable ICD-10-CM category code (S56.812).Strain of other muscles, fascia and tendons at forearm level, unspecified arm is a non-billable ICD-10-CM category code (S56.819).
7th characterThe appropriate 7th character is to be added to each code from category S56The appropriate 7th character is to be added to each code from category S56

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