ICD Code S49.92XA

ICD code S49.92XA is an unspecified injury of the left shoulder and upper arm, initial encounter.

1. Patient presents with an injury involving the left shoulder and/or upper arm.

2. The specific nature of the injury (e.g., fracture, dislocation, sprain, strain, contusion, etc.) cannot be determined or is not documented at the time of the encounter.

3. The injury is not further specified as to type or mechanism.

4. The encounter is the initial visit for evaluation and active treatment of the injury.

5. Laterality is specified as the left side.

Relevant CPT codes that may be used to treat ICD code S49.92XA include:

- 99201–99205 (New patient office or other outpatient visit)

- 99211–99215 (Established patient office or other outpatient visit)

- 73030 (Radiologic examination, shoulder; complete, minimum of two views)

- 73060 (Radiologic examination, humerus)

- 23600–23630 (Closed or open treatment of humeral or shoulder injuries)

- 20610 (Arthrocentesis, aspiration and/or injection; major joint or bursa)

- 29805–29828 (Arthroscopy, shoulder, diagnostic and surgical procedures)

- 23410–23420 (Repair of ruptured musculotendinous cuff, shoulder)

- 20552–20553 (Injection(s); single or multiple trigger point(s), one or two muscle(s))

- 97110 (Therapeutic exercises)

- 97140 (Manual therapy techniques)

CPT code selection should be based on the specific clinical scenario and procedures performed for S49.92XA.

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