S56.891A

S56.891A: Other injury of other muscles, fascia and tendons at forearm level, right arm, initial encounter

Billable / specific codeICD-10-CMright

S56.891A is a billable, specific ICD-10-CM code for other injury of other muscles, fascia and tendons at forearm level, right arm, initial encounter. It is valid for submission on a claim.

Check S56.891A with the rest of the claim: free scrubber

7th character "A": initial encounter

The appropriate 7th character is to be added to each code from category S56

A: initial encounter
D: subsequent encounter
S: sequela

Excludes2 inherited from the categories above S56.891A

Not part of this code, but both may be coded when both are present.

Written on S56: Injury of muscle, fascia and tendon at forearm level

injury of muscle, fascia and tendon at or below wrist (S66.-)
sprain of joints and ligaments of elbow (S53.4-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

S56.891A is named in 2 Medicare coverage policies: 2 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A53058Billing and Coding: Home Health Physical Therapy
A53065Billing and Coding: Outpatient Physical Therapy

Code history

Unchanged in every release from FY2024 to FY2027.