S46.919
S46.919 — Strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm
Non-billable headerICD-10-CMunspecified
S46.919 is a non-billable header ICD-10-CM code for strain of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm. 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
S46.919 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 S46.919
3 child codes. Green means billable.
- S46.919AStrain of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, initial encounter
- S46.919DStrain of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, subsequent encounter
- S46.919SStrain of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, sequela
Related codes at this level
Codes that share S46.91. If S46.919 is not quite right, the correct code is usually one of these.
Questions about S46.919
- Is S46.919 a billable ICD-10-CM code?
- No. S46.919 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does S46.919 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).