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S43.422
Non-billable

Sprain of left rotator cuff capsule

Chapter 19: Injury, poisoning and certain other consequences of external causes

Coding Guidance

S43.422 should not be used for reimbursement purposes as there are more specific codes below it that contain a greater level of detail. See Related Codes to drill down to more specific billable codes for appropriate reimbursement.

Additional Information from Parent Codes

The following information may apply to this code from its parent codes in the ICD-10 hierarchy. This information is important for proper coding and classification.

Includes

7 items

From S43:

  • avulsion of joint or ligament of shoulder girdle
  • laceration of cartilage, joint or ligament of shoulder girdle
  • sprain of cartilage, joint or ligament of shoulder girdle
  • traumatic hemarthrosis of joint or ligament of shoulder girdle
  • traumatic rupture of joint or ligament of shoulder girdle
  • traumatic subluxation of joint or ligament of shoulder girdle
  • traumatic tear of joint or ligament of shoulder girdle

Excludes1

3 items

From S00-T88:

From S43.42:

  • rotator cuff syndrome (complete) (incomplete), not specified as traumatic (M75.1-)

Excludes2

2 items

From S43:

  • strain of muscle, fascia and tendon of shoulder and upper arm (S46.-)

From S43.42:

  • injury of tendon of rotator cuff (S46.0-)

Use Additional Code

1 item

From S00-T88:

  • code to identify any retained foreign body, if applicable (Z18.-)

7th Character Notes

4 items

From S43:

  • The appropriate 7th character is to be added to each code from category S43
  • A: initial encounter
  • D: subsequent encounter
  • S: sequela
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