Not Valid for Submission
S46.09 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of other injury of muscle(s) and tendon(s) of the rotator cuff of shoulder. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
The appropriate 7th character is to be added to each code from block Injury of muscle, fascia and tendon at shldr/up arm (S46). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Specific Coding for Inj muscle(s) and tendon(s) of the rotator cuff of shoulder
Non-specific codes like S46.09 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for inj muscle(s) and tendon(s) of the rotator cuff of shoulder:
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code S46.09 are found in the index:
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]