Non-Billable / Non-Specific Code
ICD-10-CM S46 is the diagnosis code for Injury of muscle, fascia and tendon at shoulder and upper arm level. This code falls under the section "Injuries to the shoulder and upper arm" within Chapter 19 â Injury, poisoning and certain other consequences of external causes (S00-T88). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
The following conditions are not included in S46. If the patient has both, code each condition separately:
Understanding where S46 sits in the ICD-10-CM classification helps ensure proper coding:
No, S46 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
S46 is the ICD-10-CM diagnosis code for "Injury of muscle, fascia and tendon at shoulder and upper arm level". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
S46 is located in Section S40-S49 â "Injuries to the shoulder and upper arm" within Chapter 19 of the ICD-10-CM Tabular List.
S46 has 6 sub-code(s) that provide more specific detail: S46.0, S46.1, S46.2, S46.3, S46.8 and more.
Use S46 when the patients documented diagnosis matches "Injury of muscle, fascia and tendon at shoulder and upper arm level" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Injury of muscle, fascia and tendon at shoulder and upper arm level is S46.
No, S46 is non-billable. Use a more specific sub-code for primary diagnosis billing.
S46 is in Chapter 19 of the ICD-10-CM Tabular List.
Yes, S46 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.