Complete ICD-10-CM coding and documentation guide for icd-10 coding for shoulder 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 Strain
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
Unspecified fall, initial encounter
Use to specify the external cause of the traumatic shoulder strain.
The ICD-10 code for a traumatic shoulder strain is S46.011A for the right shoulder and S46.012A for the left shoulder, used during the initial encounter.
For non-traumatic shoulder conditions, such as a complete rotator cuff tear without trauma, use codes from the M75.1- range.