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

ICD-10 Coding for Right Shoulder Sprain

S43.491A
S43.401A

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

Also Known as:
Right AC Joint Sprain
Right Shoulder Ligament Injury
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Key Information: ICD-10 Coding for Right Shoulder Sprain

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

Use ICD-10 code S43.491A for other sprain of right shoulder joint, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Other sprain of right shoulder joint, initial encounter

Billable Code
S43.491A
Billable

Diagnostic Criteria

clinical:
  • • Presence of diffuse ligamentous injury without specific structure identified.
documentation:
  • • Documentation lacks specific ligament involvement.

Applicable To

  • • Diffuse ligamentous injury of right shoulder

Important Notes

  • • Ensure laterality and specific ligament involvement are documented.

Unspecified sprain of right acromioclavicular joint, initial encounter

Billable Code
S43.401A
Billable

Diagnostic Criteria

clinical:
  • • Tenderness over right AC joint
  • • Positive cross-arm test

Applicable To

  • • Right AC joint sprain

Important Notes

  • • Ensure AC joint involvement is clearly documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

W19.XXXA

Unspecified fall, initial encounter

Use to specify the external cause of the shoulder sprain.

Y93.44

Activity, sports

Use to specify the activity during which the injury occurred.

Frequently Asked Questions

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

The ICD-10 code for a right shoulder sprain is S43.491A, used for other sprains of the right shoulder joint during the initial encounter.

How do you code a right AC joint sprain?

For a right AC joint sprain, use ICD-10 code S43.401A, which specifies an unspecified sprain of the right acromioclavicular joint during the initial encounter.

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