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ICD-10-CM 2027 diagnosis code

S46Injury of muscle, fascia and tendon at shoulder and upper arm level

Not billable — use a more specific code

S46 is a header code, so it can't be reported by itself. Choose one of the 6 more specific codes beneath it.Short description: Injury of muscle, fascia and tendon at shldr/up arm

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About S46

S46 is the ICD-10-CM diagnosis code for injury of muscle, fascia and tendon at shoulder and upper arm level. It belongs to block S40-S49 (injuries to the shoulder and upper arm) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is a header code, so it can't be reported by itself; one of its 6 subcodes must be used instead.

To report this condition, pick the subcode that matches the documentation: S46.0 (shoulder), S46.1 (biceps), S46.2 (biceps), S46.3 (triceps), S46.8 (level) and S46.9 (level).

The conditions in its Excludes2 note aren't part of S46, but may be coded alongside it if the patient has both: injury of muscle, fascia and tendon at elbow (S56.-) and sprain of joints and ligaments of shoulder girdle (S43.9).

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Specific codes under S46

Coding notes

Excludes2Not included here — may be reported together if both conditions exist
  • injury of muscle, fascia and tendon at elbow (S56.-)
  • sprain of joints and ligaments of shoulder girdle (S43.9)
Code alsoTwo codes may be needed; sequencing depends on circumstances
  • any associated open wound (S41.-)

Notes that apply from higher levels

Instructions written at a parent level also apply to S46.

Codes whose notes reference S46

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about S46

Is S46 billable?

No. S46 is a header code. Report one of its more specific subcodes instead.