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

ICD-10 Coding for Right Shoulder Injury

S43.401A
M25.511

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

Also Known as:
Right Shoulder Trauma
Right Shoulder Pain
injury to right shoulder
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Key Information: ICD-10 Coding for Right Shoulder Injury

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

Use ICD-10 code S43.401A for sprain of unspecified ligament of right shoulder, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sprain of unspecified ligament of right shoulder, initial encounter

Billable Code
S43.401A
Billable

Diagnostic Criteria

clinical:
  • • Presence of acute trauma with ligament tenderness
documentation:
  • • Documented initial encounter with specific ligament

Applicable To

  • • Right AC joint sprain

Important Notes

  • • Ensure to document the mechanism of injury and specific ligament involved.

Pain in right shoulder

Billable Code
M25.511
Billable

Diagnostic Criteria

clinical:
  • • Pain duration >3 months
  • • No acute injury on imaging

Applicable To

  • • Chronic shoulder pain

Important Notes

  • • Ensure chronicity is documented and no acute injury is present.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.511

Pain in right shoulder

Use for chronic pain without a specific injury.

Frequently Asked Questions

What is the ICD-10 code for right shoulder injury?

The ICD-10 code for a right shoulder injury, such as a sprain, is S43.401A for the initial encounter.

How to code chronic right shoulder pain?

Chronic right shoulder pain without a specific injury is coded as M25.511.

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