Complete ICD-10-CM coding and documentation guide for icd-10 coding for trapezius 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 Strain
Use ICD-10 code S46.819A for strain of other muscles, fascia and tendons at shoulder/upper arm, unspecified arm, initial encounter, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Myalgia
Use for chronic or recurrent pain without acute injury.
Whiplash injury
Use if the strain is associated with trauma involving cervical movement.
The ICD-10 code for trapezius strain depends on the location: S46.819A for upper trapezius near the shoulder, and S29.012A for mid/lower trapezius in the thoracic region.
For a left trapezius strain, use S46.812A if it's near the shoulder, or S29.012A for strains in the thoracic region.