Shoulder Injury ICD-10-CM Codes

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 - Unspecified subluxation of right shoulder joint, initial encounter
• S43.002A - Unspecified subluxation of left shoulder joint, initial encounter
• S43.401A - Unspecified sprain of right shoulder joint, initial encounter
• S43.402A - Unspecified sprain of left shoulder joint, subsequent encounter
• S42.001A - Fracture of unspecified part of right clavicle, initial encounter for closed fracture
• S42.001B - Fracture of unspecified part of right clavicle, initial encounter for open fracture
• S42.002A - Fracture of unspecified part of left clavicle, initial encounter for closed fracture
• S42.002B - Fracture of unspecified part of left clavicle, initial encounter for open fracture
• S46.911A - Strain of unspecified muscle, fascia, and tendon at shoulder and upper arm level, right arm, initial encounter
• S46.912A - Strain of unspecified muscle, fascia, and tendon at shoulder and upper arm level, left arm, initial encounter
• S46.011A - Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounter
• S46.012A - Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounter

Please pick the code appropriate for your patient's shoulder injury. The list contains mostly unspecified codes, but they have more specific versions. If you identify the specifics, use the appropriate specific code.

Which shoulder injury ICD codes are billable?

All of the aforementioned ICD-10 codes are valid and billable.

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
• Shoulder and upper arm fracture
• Shoulder and upper arm level injury
• Shoulder and upper arm open wound
• Shoulder and upper arm contusion
• Shoulder and upper arm, unspecified injury
• Shoulder and upper arm superficial injury
• Injury of unspecified shoulder joint
• Shoulder girdle injury
• Shoulder pain due to shoulder injury
• Rotator cuff capsule sprain

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