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

**Excludes2:** - injury of muscle, fascia and tendon at elbow (S56.-) - sprain of joints and ligaments of shoulder girdle (S43.9)

**Code also:** - any associated open wound (S41.-)

**7th character note:** - The appropriate 7th character is to be added to each code from category S46

**7th character:** - A: initial encounter - D: subsequent encounter - S: sequela