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Home/Diagnosis/ICD-10 Coding for Right Shoulder Supraspinatus Tear Due to Trauma

ICD-10 Coding for Right Shoulder Supraspinatus Tear Due to Trauma

S46.011A

Complete ICD-10-CM coding and documentation guide for icd-10 coding for right shoulder supraspinatus tear due to trauma includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Traumatic Rotator Cuff Tear
Acute Supraspinatus Tear
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Key Information: ICD-10 Coding for Right Shoulder Supraspinatus Tear Due to Trauma

Essential facts and insights about ICD-10 Coding for Right Shoulder Supraspinatus Tear Due to Trauma

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.

Primary ICD-10-CM Codes

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

Billable Code
S46.011A
Billable

Diagnostic Criteria

clinical:
  • • Presence of acute trauma and imaging confirmation
documentation:
  • • Explicit mention of trauma in clinical notes

Applicable To

  • • Acute traumatic supraspinatus tear

Important Notes

  • • Ensure trauma is clearly documented to avoid incorrect coding as degenerative.
Ancillary Codes

Additional codes that may be used with this diagnosis

S43.01XA

Anterior dislocation of right shoulder, initial encounter

Use if there is an associated shoulder dislocation.

S44.31XA

Injury of axillary nerve, right arm, initial encounter

Use if there is an associated nerve injury.

Frequently Asked Questions

What is the ICD-10 code for a traumatic right shoulder supraspinatus tear?

The ICD-10 code for a traumatic right shoulder supraspinatus tear is S46.011A, used when the injury is due to trauma and confirmed by imaging.

How do you document a traumatic supraspinatus tear?

Document the mechanism of injury, immediate symptoms, and imaging results confirming the tear to ensure accurate coding.

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