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ICD-10 Coding for Right Shoulder Supraspinatus Tear Due to Trauma(S46.011A, M75.1, M75.111)

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Learn about the ICD-10 coding for traumatic right shoulder supraspinatus tears, including documentation requirements and common coding pitfalls.

Also known as:
Traumatic Rotator Cuff TearAcute Supraspinatus Tear
Related ICD-10 Code Ranges

Complete code families applicable to Right Shoulder Supraspinatus Tear Due to Trauma

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

Incomplete rotator cuff tear/rupture of right shoulder, not specified as traumaticM75.111

Documentation & Coding Risks

Avoid these common issues when documenting Right Shoulder Supraspinatus Tear Due to Trauma.

Omitting trauma details

Impact

Clinical: Misclassification as non-traumatic., Regulatory: Potential audit issues., Financial: Incorrect reimbursement rates.

Mitigation

Always document the cause of injury.

Using M75.111 for traumatic tears

Impact

Reimbursement: Incorrect DRG assignment leading to lower reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.

Mitigation

Ensure trauma is documented and use S46.011A.

Trauma Documentation

Impact

Lack of trauma documentation can lead to incorrect coding.

Mitigation

Ensure detailed documentation of the injury mechanism.

Frequently Asked Questions

Related condition guides

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