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

ICD-10 Coding for Left Shoulder Strain

S46.012A
S43.422A

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

Also Known as:
Left Rotator Cuff Strain
Left Shoulder Capsule Strain
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Key Information: ICD-10 Coding for Left Shoulder Strain

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

Use ICD-10 code S46.012A for strain of muscle(s) and tendon(s) of rotator cuff of left shoulder, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

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

Billable Code
S46.012A
Billable

Diagnostic Criteria

clinical:
  • • Positive MRI findings of rotator cuff tear
documentation:
  • • Detailed mechanism of injury and specific physical exam findings

Applicable To

  • • Strain of supraspinatus
  • • Strain of infraspinatus

Important Notes

  • • Ensure documentation specifies acute vs chronic and includes mechanism of injury.

Strain of left shoulder capsule, initial encounter

Billable Code
S43.422A
Billable

Diagnostic Criteria

clinical:
  • • Anterior joint line tenderness
  • • Positive apprehension/relocation test

Applicable To

  • • Strain of shoulder capsule

Important Notes

  • • Ensure documentation specifies the specific part of the shoulder affected.
Ancillary Codes

Additional codes that may be used with this diagnosis

W11.XXXA

Fall from ladder

Use to describe the external cause of the injury.

Y92.6

Place of occurrence (construction site)

Use to specify the location where the injury occurred.

Frequently Asked Questions

What is the ICD-10 code for left shoulder strain?

The ICD-10 code for left shoulder strain is S46.012A, used for initial encounters involving rotator cuff strain.

How do you code a left shoulder strain from a fall?

For a left shoulder strain from a fall, use S46.012A for the strain and W11.XXXA for the external cause.

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