S46.99 — Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level
Is S46.99 billable?
No — S46.99 is a non-billable header code. S46.99 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 9 billable codes beneath S46.99.
Billable codes under this header
- S46.991AOther injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, initial encounter
- S46.991DOther injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, subsequent encounter
- S46.991SOther injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right arm, sequela
- S46.992AOther injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, initial encounter
- S46.992DOther injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, subsequent encounter
- S46.992SOther injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left arm, sequela
- S46.999AOther injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, initial encounter
- S46.999DOther injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, subsequent encounter
- S46.999SOther injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified arm, sequela
S46.99 at a glance
| Code | S46.99 |
|---|---|
| Description | Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S46.99 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to S46.99. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Injury › muscle › shoulder › specified type NEC
Use additional code — inherited from Chapter 19
Report an additional code alongside S46.99 to fully describe the condition. S46.99 is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S46.99, but a patient may have both at the same time. When documentation supports it, S46.99 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S46.99, but a patient may have both at the same time. When documentation supports it, S46.99 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S46
The conditions below are not part of S46.99, but a patient may have both at the same time. When documentation supports it, S46.99 and the excluded code may both be reported.
Code also — inherited from S46
Two codes may be needed to describe the condition fully. Whether S46.99 is sequenced first depends on the reason for the encounter.
- any associated open wound (S41.-)
What codes fall under S46.99? (3)
- S46.991Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, right armnot billable
- S46.992Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, left armnot billable
- S46.999Other injury of unspecified muscle, fascia and tendon at shoulder and upper arm level, unspecified armnot billable
How long has S46.99 existed?
S46.99 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the S46.9 family? (3)
- S46.90Unspecified injury of unspecified muscle, fascia and tendon at shoulder and upper arm levelnot billable
- S46.91Strain of unspecified muscle, fascia and tendon at shoulder and upper arm levelnot billable
- S46.92Laceration of unspecified muscle, fascia and tendon at shoulder and upper arm levelnot billable