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Home/Diagnosis/ICD-10 Coding for Sprain of Right Shoulder

ICD-10 Coding for Sprain of Right Shoulder

S43.401A
S43.41XA

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

Also Known as:
Right Shoulder Ligament Injury
Right AC Joint Sprain
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Key Information: ICD-10 Coding for Sprain of Right Shoulder

Essential facts and insights about ICD-10 Coding for Sprain of Right Shoulder

Use ICD-10 code S43.401A for unspecified sprain of right shoulder joint, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unspecified sprain of right shoulder joint, initial encounter

Billable Code
S43.401A
Billable

Diagnostic Criteria

  • • Presence of shoulder pain and tenderness without specific ligament identification.

Applicable To

  • • General sprain of right shoulder

Important Notes

  • • Ensure documentation specifies the ligament involved if possible.

Sprain of acromioclavicular joint of right shoulder, initial encounter

Non-Billable
S43.41XA
Non-Billable

Diagnostic Criteria

  • • Positive cross-body adduction test
  • • Tenderness over AC joint

Applicable To

  • • Sprain of right AC joint

Important Notes

  • • Document specific tests confirming AC joint involvement.
Ancillary Codes

Additional codes that may be used with this diagnosis

W19.XXXA

Unspecified fall, initial encounter

Use to specify the external cause of the injury.

M25.511

Pain in right shoulder

Use if chronic pain persists beyond the acute phase.

Frequently Asked Questions

What is the ICD-10 code for a sprain of the right shoulder?

The ICD-10 code for an unspecified sprain of the right shoulder is S43.401A. For specific ligament involvement, codes like S43.41XA may be used.

How do you document a right shoulder sprain?

Document the specific ligament involved, mechanism of injury, and clinical findings such as tenderness and limited range of motion.

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