FY2025 · 04-01
Effective from
- Inherited rules changed
Sprain of rotator cuff capsule
Category — select a more specific code
CDC/NCHS · FY2025 · 04-01rotator cuff syndrome (complete) (incomplete), not specified as traumatic (M75.1-)
code to identify any retained foreign body, if applicable (Z18.-)
any associated open wound
A — initial encounter
D — subsequent encounter
S — sequela
injury of tendon of rotator cuff (S46.0-)
strain of muscle, fascia and tendon of shoulder and upper arm (S46.-)
For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.
Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.
Official coding guidelines → · CMS ↗First observed · 2015-10-01
Latest recorded change · FY2025 · 04-01
Effective from
Sprain of rotator cuff capsule
Category — select a more specific code
CDC/NCHS · FY2025 · 04-01| All editions | Effective from | Code history |
|---|---|---|
| FY2016 | 2015-10-01 | First observed |
| FY2017 | 2016-10-01 | No tabular change |
| FY2018 | 2017-10-01 | No tabular change |
| FY2019 | 2018-10-01 | No tabular change |
| FY2020 | 2019-10-01 | No tabular change |
| FY2020 · April | 2020-04-01 | No tabular change |
| FY2021 | 2020-10-01 | No tabular change |
| FY2021 · 01-01 | 2021-01-01 | No tabular change |
| FY2022 | 2021-10-01 | No tabular change |
| FY2022 · 04-01 | 2022-04-01 | No tabular change |
| FY2023 | 2022-10-01 | No tabular change |
| FY2023 · 04-01 | 2023-04-01 | No tabular change |
| FY2024 | 2023-10-01 | No tabular change |
| FY2024 · 04-01 | 2024-04-01 | No tabular change |
| FY2025 | 2024-10-01 | No tabular change |
| FY2025 · 04-01 | 2025-04-01 | Inherited rules changed |
| FY2026 | 2025-10-01 | No tabular change |
| FY2026 · April | 2026-04-01 | No tabular change |
| FY2027 | 2026-10-01 | No tabular change |
rotator cuff syndrome (complete) (incomplete), not specified as traumatic (M75.1-)
injury of tendon of rotator cuff (S46.0-)
code to identify any retained foreign body, if applicable (Z18.-)
strain of muscle, fascia and tendon of shoulder and upper arm (S46.-)
any associated open wound
The appropriate 7th character is to be added to each code from category S43
A — initial encounter
D — subsequent encounter
S — sequela
Other entries in the same category; these are not automatic substitutes.
| Code | Description | Category · further specificity required |
|---|---|---|
| S43.40 | Unspecified sprain of shoulder joint | Category · further specificity required |
| S43.41 | Sprain of coracohumeral (ligament) | Category · further specificity required |
| S43.43 | Superior glenoid labrum lesion | Category · further specificity required |
| S43.49 | Other sprain of shoulder joint | Category · further specificity required |
Official titles and instructions are preserved in their source language. Official sources ↗