Complete ICD-10-CM coding and documentation guide for icd-10 coding for right rotator cuff strain includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Right Rotator Cuff Strain
Use ICD-10 code S46.011A for strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounter, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Sprain of rotator cuff capsule of right shoulder, initial encounter
Use when there is a concurrent sprain of the rotator cuff capsule.
The ICD-10 code for a right rotator cuff strain is S46.011A, used for initial encounters of traumatic strains.
Document the mechanism of injury, specify the anatomic location, and include imaging results showing a strain without a tear.