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ICD-10-CM Code S43.42
Sprain of rotator cuff capsule

Non-Billable Code
Non-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-10 from 2011 - 2016

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.

Coding Notes for S43.42 Info for medical coders on how to properly use this ICD-10 code

Code Type-1 Excludes:
Type-1 Excludes
Type-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 Excludes
Type-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.

Parent Code: S43.4 - Sprain of shoulder joint

** This Document Provided By ICD.Codes **
Source: http://icd.codes/icd10cm/S4342