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

ICD-10 Coding for Right Shoulder Trauma

S46.011A
S42.011A

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

Also Known as:
Right Shoulder Injury
Right Shoulder Strain
Right Shoulder Pain
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Key Information: ICD-10 Coding for Right Shoulder Trauma

Essential facts and insights about ICD-10 Coding for Right Shoulder 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 traumatic event leading to shoulder pain
documentation:
  • • Detailed description of the mechanism of injury

Applicable To

  • • Acute traumatic rotator cuff strain

Important Notes

  • • Ensure documentation specifies the traumatic nature and laterality of the injury.

Fracture of clavicle, right, initial encounter

Billable Code
S42.011A
Billable

Applicable To

  • • Acute fracture of right clavicle

Important Notes

  • • Ensure imaging confirms the fracture and document the specific location.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.511

Pain in right shoulder

Use to document pain when it is the primary symptom without a specific traumatic injury.

S49.81XA

Other specified injuries of right shoulder and upper arm, initial encounter

Use for other specified injuries not classified elsewhere.

Frequently Asked Questions

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

The ICD-10 code for right shoulder trauma, specifically a rotator cuff strain, is S46.011A for the initial encounter.

How do you document a right shoulder injury?

Document the mechanism of injury, laterality, physical exam findings, and imaging results to ensure accurate coding.

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