Complete ICD-10-CM coding and documentation guide for icd-10 coding for shoulder muscle strain includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Shoulder Muscle Strain
Use ICD-10 code S46.011A for strain of right rotator cuff muscles/tendons, initial encounter, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Open wound of right shoulder
Use when there is an associated open wound with the strain.
Open wound of left shoulder
Use when there is an associated open wound with the strain.
The ICD-10 code for right shoulder muscle strain is S46.011A, used for initial encounters of acute strains.
For a left shoulder muscle strain, use ICD-10 code S46.012A for initial encounters.