{"code":"S43.422S","type":"code","title":"Sprain of left rotator cuff capsule, sequela","codeAlso":["any associated open wound"],"includes":["avulsion of joint or ligament of shoulder girdle","laceration of cartilage, joint or ligament of shoulder girdle","sprain of cartilage, joint or ligament of shoulder girdle","traumatic hemarthrosis of joint or ligament of shoulder girdle","traumatic rupture of joint or ligament of shoulder girdle","traumatic subluxation of joint or ligament of shoulder girdle","traumatic tear of joint or ligament of shoulder girdle","injuries of axilla","injuries of scapular region"],"modern_v":"official26","codeFirst":[],"excludes1":["rotator cuff syndrome (complete) (incomplete), not specified as traumatic (M75.1-)"],"excludes2":["injury of tendon of rotator cuff (S46.0-)","strain of muscle, fascia and tendon of shoulder and upper arm (S46.-)","burns and corrosions (T20-T32)","frostbite (T33-T34)","injuries of elbow (S50-S59)","insect bite or sting, venomous (T63.4)"],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"inclusionTerms":[],"useAdditionalCode":[],"clinicalDefinition":"Sprain of left rotator cuff capsule, sequela is a billable ICD-10-CM diagnosis code (S43.422S). Includes: avulsion of joint or ligament of shoulder girdle; laceration of cartilage, joint or ligament of shoulder girdle; sprain of cartilage, joint or ligament of shoulder girdle; traumatic hemarthrosis of joint or ligament of shoulder girdle; traumatic rupture of joint or ligament of shoulder girdle; traumatic subluxation of joint or ligament of shoulder girdle; traumatic tear of joint or ligament .","officialDefinition":"Sprain of left rotator cuff capsule, sequela is a billable ICD-10-CM diagnosis code (S43.422S). Includes: avulsion of joint or ligament of shoulder girdle; laceration of cartilage, joint or ligament of shoulder girdle; sprain of cartilage, joint or ligament of shoulder girdle; traumatic hemarthrosis of joint or ligament of shoulder girdle; traumatic rupture of joint or ligament of shoulder girdle; traumatic subluxation of joint or ligament of shoulder girdle; traumatic tear of joint or ligament of shoulder girdle; injuries of axilla; injuries of scapular region. Excludes1 (not coded here): rotator cuff syndrome (complete) (incomplete), not specified as traumatic (M75.1-). Excludes2 (not included here): injury of tendon of rotator cuff (S46.0-); strain of muscle, fascia and tendon of shoulder and upper arm (S46.-); burns and corrosions (T20-T32); frostbite (T33-T34); injuries of elbow (S50-S59); insect bite or sting, venomous (T63.4). Code also: any associated open wound. 7th character: The appropriate 7th character is to be added to each code from category S43.","seventhCharacterInstructions":["The appropriate 7th character is to be added to each code from category S43"],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}