S46.811 is the authoritative medical code for Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm. This classification is used in medical billing and clinical recording to specify the clinical criteria for strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm (ICD-10-CM S46.811), ensuring healthcare documentation aligns with current federal coding standards.
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm is a non-billable ICD-10-CM category code S46.811. A more specific billable subcode must be selected for claims submission. Includes: injuries of axilla; injuries of scapular region. Excludes2 (not included here): injury of muscle, fascia and tendon at elbow S56.-; sprain of joints and ligaments of shoulder girdle S43.9; burns and corrosions T20-T32; frostbite T33-T34; injuries of elbow S50-S59; insect bite or sting, venomous T63.4. Code also: any associated open wound S41.-. 7th character: The appropriate 7th character is to be added to each code from category S46.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S46.811 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- injuries of axilla
- injuries of scapular region
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- injury of muscle, fascia and tendon at elbow S56.-
- sprain of joints and ligaments of shoulder girdle S43.9
- burns and corrosions T20-T32
- frostbite T33-T34
- injuries of elbow S50-S59
- insect bite or sting, venomous T63.4
Code Also
Additional codes that may be required to fully describe the encounter.
- any associated open wound S41.-
Frequently Asked Questions (FAQ) & Clinical Guidance
Can S46.811 be billed directly?
No. S46.811 (Strain of other muscles, fascia and tendons at shoulder and upper arm level, right arm) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does S46.811 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S46.
Can S46.811 be reported alongside related conditions?
Per official ICD-10-CM Excludes2 instructions, S46.811 and the following are not considered part of each other and may both be reported when both conditions are present: injury of muscle, fascia and tendon at elbow (S56.-); sprain of joints and ligaments of shoulder girdle (S43.9); burns and corrosions (T20-T32); frostbite (T33-T34).
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S46.811 in its code family, with their registry titles.
- S46.021A — Laceration of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounter
- S46.021D — Laceration of muscle(s) and tendon(s) of the rotator cuff of right shoulder, subsequent encounter
- S46.021S — Laceration of muscle(s) and tendon(s) of the rotator cuff of right shoulder, sequela
- S46.022 — Laceration of muscle(s) and tendon(s) of the rotator cuff of left shoulder
- S46.022A — Laceration of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounter
- S46.022D — Laceration of muscle(s) and tendon(s) of the rotator cuff of left shoulder, subsequent encounter
- S46.022S — Laceration of muscle(s) and tendon(s) of the rotator cuff of left shoulder, sequela
- S46.029 — Laceration of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder
- S46.029A — Laceration of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, initial encounter
- S46.029D — Laceration of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, subsequent encounter
View all 40 codes in the S46 family