S46.1
S46.1 — Injury of muscle, fascia and tendon of long head of biceps
Non-billable headerICD-10-CM
S46.1 is a non-billable header ICD-10-CM code for injury of muscle, fascia and tendon of long head of biceps. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category S46
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
S46.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead S46.1
4 child codes. Green means billable.
Related codes at this level
Codes that share S46. If S46.1 is not quite right, the correct code is usually one of these.
- S46.0Injury of muscle(s) and tendon(s) of the rotator cuff of shoulder
- S46.2Injury of muscle, fascia and tendon of other parts of biceps
- S46.3Injury of muscle, fascia and tendon of triceps
- S46.8Injury of other muscles, fascia and tendons at shoulder and upper arm level
- S46.9Injury of unspecified muscle, fascia and tendon at shoulder and upper arm level
Questions about S46.1
- Is S46.1 a billable ICD-10-CM code?
- No. S46.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S46.1 sit in the tabular list?
- Injury, poisoning and certain other consequences of external causes (S00-T88), in the block Injuries to the shoulder and upper arm (S40-S49).