ICD-10-CM Code S43.42
Sprain of rotator cuff capsule
Non-Billable CodeNon-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail.
ICD Code S43.42 is a non-billable code. To code a diagnosis of this type, you must use one of the three child codes of S43.42 that describes the diagnosis 'sprain of rotator cuff capsule' in more detail.
- S43.42 Sprain of rotator cuff capsule NON-BILLABLE
Coding Notes for S43.42 Info for medical coders on how to properly use this ICD-10 code
Code Type-1 Excludes:
Type-1 ExcludesType-1 Excludes mean the conditions excluded are mutually exclusive and should never be coded together. Excludes 1 means "do not code here."
- Rotator cuff syndrome (complete) (incomplete), not specified as traumatic - instead, use code M75.1-
Code Type-2 Excludes:
Type-2 ExcludesType-2 Excludes means the excluded conditions are different, although they may appear similar. A patient may have both conditions, but one does not include the other. Excludes 2 means "not coded here."
- Injury of tendon of rotator cuff - instead, use code S46.0-
ICD-10-CM Alphabetical Index References for 'S43.42 - Sprain of rotator cuff capsule'
The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code S43.42. Click on any term below to browse the alphabetical index.