Valid for Submission
S43.422A is a billable diagnosis code used to specify a medical diagnosis of sprain of left rotator cuff capsule, initial encounter. The code S43.422A is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code S43.422A might also be used to specify conditions or terms like sprain of left rotator cuff capsule or sprain of left shoulder.
The code is commonly used in orthopedics medical specialties to specify clinical concepts such as selected sprains rotator cuff, cruciate ligament, and ankle.
S43.422A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like sprain of left rotator cuff capsule. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Sprain of left rotator cuff capsule
- Sprain of left shoulder
Diagnostic Related Groups - MS-DRG Mapping
Convert S43.422A to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S43.422A its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
Rotator Cuff Injuries
Your rotator cuff is located in your shoulder area. It is made of muscles and tendons. It helps your shoulder to move and stay stable. Problems with the rotator cuff are common. They include tendinitis, bursitis, and injuries such as tears.
Rotator cuff tendons can become inflamed from frequent use or aging. Sometimes they are injured from a fall on an outstretched hand. Sports or jobs with repeated overhead motion can also damage the rotator cuff. Aging causes tendons to wear down, which can lead to a tear.
Some tears are not painful, but others can be very painful. Treatment for a torn rotator cuff depends on age, health, how severe the injury is, and how long you've had the torn rotator cuff.
Treatment for torn rotator cuff includes:
- Heat or cold to the sore area
- Medicines that reduce pain and swelling
- Electrical stimulation of muscles and nerves
- Cortisone injection
NIH: National Institute of Arthritis and Musculoskeletal and Skin Disease
- Rotator cuff - self-care (Medical Encyclopedia)
- Rotator cuff exercises (Medical Encyclopedia)
- Rotator cuff problems (Medical Encyclopedia)
- Rotator cuff repair (Medical Encyclopedia)
- Shoulder arthroscopy (Medical Encyclopedia)
- Shoulder replacement (Medical Encyclopedia)
[Learn More in MedlinePlus]
Sprains and Strains
A sprain is a stretched or torn ligament. Ligaments are tissues that connect bones at a joint. Falling, twisting, or getting hit can all cause a sprain. Ankle and wrist sprains are common. Symptoms include pain, swelling, bruising, and being unable to move your joint. You might feel a pop or tear when the injury happens.
A strain is a stretched or torn muscle or tendon. Tendons are tissues that connect muscle to bone. Twisting or pulling these tissues can cause a strain. Strains can happen suddenly or develop over time. Back and hamstring muscle strains are common. Many people get strains playing sports. Symptoms include pain, muscle spasms, swelling, and trouble moving the muscle.
At first, treatment of both sprains and strains usually involves resting the injured area, icing it, wearing a bandage or device that compresses the area, and medicines. Later treatment might include exercise and physical therapy.
NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases
- Ankle sprain - aftercare (Medical Encyclopedia)
- Elbow sprain -- aftercare (Medical Encyclopedia)
- Foot sprain - aftercare (Medical Encyclopedia)
- Hamstring strain - aftercare (Medical Encyclopedia)
- Hip flexor strain -- aftercare (Medical Encyclopedia)
- Sprains (Medical Encyclopedia)
- Strains (Medical Encyclopedia)
- Tendon repair (Medical Encyclopedia)
- Wrist sprain - aftercare (Medical Encyclopedia)
[Learn More in MedlinePlus]