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ICD-10 Coding for Right Shoulder Strain(S46.011A, M75.111, S43.421A)

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Learn about the ICD-10 coding for right shoulder strain, including documentation requirements, common pitfalls, and billing considerations.

Also known as:
R Shoulder StrainRight Rotator Cuff Strain
Related ICD-10 Code Ranges

Complete code families applicable to Right Shoulder Strain

S00-T88Primary Range

Injury, poisoning and certain other consequences of external causes

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescription
S46.011AStrain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounter
M75.111Unspecified rotator cuff tear/rupture of right shoulder, not specified as traumatic
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

Sprain of right shoulder capsuleS43.421A
Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounterS46.011A

Documentation & Coding Risks

Avoid these common issues when documenting Right Shoulder Strain.

Omitting laterality in documentation

Impact

Clinical: May lead to incorrect treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.

Mitigation

Use standardized templates, Review documentation for completeness

Using unspecified codes for shoulder injuries

Impact

Reimbursement: May lead to denied claims or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of healthcare data.

Mitigation

Document laterality and specific injury details to use specific codes.

Incorrect use of 7th character for encounter type

Impact

Reimbursement: Incorrect coding may affect reimbursement rates., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Affects data integrity and tracking of patient encounters.

Mitigation

Ensure correct 7th character is used based on encounter type.

Incorrect use of unspecified codes

Impact

Using unspecified codes can trigger audits due to lack of specificity.

Mitigation

Ensure detailed documentation and use specific codes.

Frequently Asked Questions

Related condition guides

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