Not Valid for Submission
S46.099 is a "header" nonspecific 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 unspecified shoulder. The code 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 ICD-10-CM code S46.099 might also be used to specify conditions or terms like traumatic rupture of rotator cuff.
Unspecified diagnosis codes like S46.099 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Specific Coding for Inj musc/tend the rotator cuff of unsp shoulder
Header codes like S46.099 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 musc/tend the rotator cuff of unsp shoulder:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Traumatic rupture of rotator cuff
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)
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[Learn More in MedlinePlus]