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Home/Diagnosis/ICD-10 Coding for Left Shoulder Injury

ICD-10 Coding for Left Shoulder Injury

S43.52XA
S46.012A
S49.92XA

Complete ICD-10-CM coding and documentation guide for icd-10 coding for left shoulder injury includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Left Shoulder Pain
Left Shoulder Sprain
Left Shoulder Strain
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Key Information: ICD-10 Coding for Left Shoulder Injury

Essential facts and insights about ICD-10 Coding for Left Shoulder Injury

Use ICD-10 code S43.52XA for sprain of left acromioclavicular joint, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sprain of left acromioclavicular joint, initial encounter

Billable Code
S43.52XA
Billable

Diagnostic Criteria

clinical:
  • • Presence of AC joint tenderness and positive imaging findings
coding:
  • • Initial encounter for the injury

Applicable To

  • • Sprain of left AC joint

Important Notes

  • • Ensure the 7th character reflects the encounter type: 'A' for initial, 'D' for subsequent, 'S' for sequela.

Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounter

Billable Code
S46.012A
Billable

Applicable To

  • • Rotator cuff tear

Important Notes

  • • Ensure documentation supports the specific muscle or tendon involved.

Unspecified injury of left shoulder and upper arm, initial encounter

Billable Code
S49.92XA
Billable

Applicable To

  • • Unspecified shoulder injury

Important Notes

  • • Consider more specific codes if further diagnostic information becomes available.

Pain in left shoulder

Billable Code
M25.512
Billable

Applicable To

  • • Shoulder pain without structural injury

Important Notes

  • • Ensure documentation clearly indicates the absence of structural injury.
Ancillary Codes

Additional codes that may be used with this diagnosis

Y92.6

Place of occurrence, construction site

Use to specify the location of the injury if it occurred at a construction site.

W11

Fall on and from ladder

Use to specify the mechanism of injury if the patient fell from a ladder.

Frequently Asked Questions

What is the ICD-10 code for a left shoulder injury?

The ICD-10 code for a left shoulder injury varies based on the specific condition. Common codes include S43.52XA for a sprain of the left acromioclavicular joint and S46.012A for a strain of the rotator cuff.

How do you code a left shoulder sprain?

For a left shoulder sprain, use ICD-10 code S43.52XA if the sprain involves the acromioclavicular joint. Ensure documentation supports the diagnosis with clinical findings and imaging.

What documentation is needed for coding shoulder injuries?

Documentation should include the mechanism of injury, specific pain location, physical exam findings, and imaging results to support accurate coding of shoulder injuries.

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