Complete ICD-10-CM coding and documentation guide for icd-10 coding for trapezius muscle strain includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Trapezius Muscle Strain
Use ICD-10 code S46.819A for strain of other specified muscles and tendons at shoulder and upper arm level, initial encounter, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Activity, other involving physical exercise
Use to specify the activity during which the injury occurred.
The ICD-10 code for trapezius muscle strain is S46.819A, used for acute injuries to the trapezius muscle in the shoulder region.
Document the specific muscle, laterality, and mechanism of injury. Include physical exam findings and any imaging results.