Complete ICD-10-CM coding and documentation guide for icd-10 coding for rotator cuff injury includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Rotator Cuff Injury
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
Fall on same level from slipping, tripping and stumbling, initial encounter
Use to specify the external cause of the injury.
Chronic shoulder pain
Use to document associated chronic pain.
The ICD-10 code for a traumatic rotator cuff tear is S46.011A, which specifies a strain of muscle(s) and tendon(s) of the rotator cuff of the right shoulder, initial encounter.
For a non-traumatic rotator cuff tear, use ICD-10 code M75.121, which indicates a complete tear or rupture of the right shoulder not specified as traumatic.