Shoulder Injury ICD-10-CM Codes
Discover the essential ICD-10 Codes for Shoulder Injury. Learn about commonly used shoulder injury codes, clinical information, billability, and synonyms.
Fact Checked by RJ Gumban.
What ICD-10 Codes are Used for Shoulder Injury
Shoulder injuries are frequent occurrences of accidents, sports, or wear and tear. Accurate diagnosis and coding are vital for proper treatment and billing.
Below are commonly used codes for shoulder injuries:
- S43.001A - Sprain of unspecified ligaments of right shoulder joint, initial encounter
- S43.002A - Sprain of unspecified ligaments of left shoulder joint, initial encounter
- S42.001A - Unspecified fracture of right clavicle, initial encounter for closed fracture
- S42.002A - Unspecified fracture of left clavicle, initial encounter for closed fracture
- S43.421A - Strain of right shoulder capsule, initial encounter
- S43.422A - Strain of left shoulder capsule, initial encounter
- S46.011A - Strain of muscle(s) and tendon(s) of rotator cuff of right shoulder, initial encounter
- S46.012A - Strain of muscle(s) and tendon(s) of rotator cuff of left shoulder, initial encounter
- M75.121 - Complete rotator cuff tear or rupture of right shoulder, not specified as traumatic
- M75.122 - Complete rotator cuff tear or rupture of left shoulder, not specified as traumatic
Which Shoulder Injury ICD codes are Billable:
- S43.001A - Yes
- S43.002A - Yes
- S42.001A - Yes
- S42.002A - Yes
- S43.421A - Yes
- S43.422A - Yes
- S46.011A - Yes
- S46.012A - Yes
- M75.131 - Yes
- M75.122 - Yes
Clinical Information
- Shoulder injuries include sprains, strains, fractures, dislocations, or rotator cuff tears.
- They are commonly caused by accidents, sports activities, lifting heavy objects, or repetitive movements.
- Symptoms may include pain, swelling, stiffness, or decreased range of motion in the shoulder.
- Treatment options include rest, ice, compression, physical therapy, medication, and, in some cases, surgery.
- Ongoing care and rehabilitation may be necessary to regain full function.
Synonyms Include:
- Rotator Cuff Tear
- Shoulder Dislocation
- Clavicle Fracture
- Shoulder Strain
- Shoulder Joint Sprain
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Commonly asked questions
Shoulder Injury ICD codes are used for diagnosing, planning treatment, billing, and statistical and research purposes. They provide standardized documentation of the injury's specific nature and location.
Common treatments for shoulder injuries include rest, ice, pain relievers, physical therapy, corticosteroid injections, and sometimes surgery for more severe injuries like rotator cuff tears or fractures.
A diagnosis code for a Shoulder Injury provides detailed information about a shoulder injury's specific type and nature. This standardized coding allows healthcare professionals to document and treat the condition accurately.
