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ICD-10 Coding for Right Rotator Cuff Strain(S46.011A, M75.1, M75.121)

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Learn about the ICD-10 coding for right rotator cuff strain, including documentation requirements and common pitfalls.

Also known as:
Right Shoulder Rotator Cuff InjuryRight Rotator Cuff Muscle Strain
Related ICD-10 Code Ranges

Complete code families applicable to Right Rotator Cuff Strain

S00-T88Primary Range

Injury, poisoning and certain other consequences of external causes

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Primary ICD-10-CM Codes
Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounter
S46.011ABillable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Complete rotator cuff tear or rupture of right shoulder, not specified as traumaticM75.121

Use when the tear is due to degeneration or non-traumatic causes.

Documentation & Coding Risks

Avoid these common issues when documenting Right Rotator Cuff Strain.

Lack of specificity in injury description

Impact

Clinical: May lead to inappropriate treatment plans., Regulatory: Increases risk of audit discrepancies., Financial: Potential for claim denials.

Mitigation

Ensure detailed documentation of the injury event.

Confusing traumatic strain with non-traumatic tear

Impact

Reimbursement: Incorrect coding may lead to claim denials., Compliance: Misclassification can result in audit flags., Data Quality: Affects the accuracy of clinical data records.

Mitigation

Verify the mechanism of injury and document accordingly.

Trauma Documentation

Impact

Failure to document trauma can lead to incorrect coding.

Mitigation

Ensure all documentation includes a clear description of the traumatic event.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with S46.011A.