Complete ICD-10-CM coding and documentation guide for icd-10 coding for rotator cuff repair 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 Repair
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
Patient's intentional underdosing of medication regimen for other reason
Use for documenting aftercare following surgical repair.
The ICD-10 code for a traumatic rotator cuff tear of the right shoulder is S46.011A. Ensure documentation specifies the traumatic nature of the tear.
For a chronic rotator cuff tear of the right shoulder, use ICD-10 code M75.111. Documentation should reflect the degenerative nature and absence of trauma.