{"code":"S46.019","type":"category","title":"Strain of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder","codeAlso":["any associated open wound (S41.-)"],"includes":["injuries of axilla","injuries of scapular region"],"modern_v":"official26","codeFirst":[],"excludes1":[],"excludes2":["injury of muscle, fascia and tendon at elbow (S56.-)","sprain of joints and ligaments of shoulder girdle (S43.9)","burns and corrosions (T20-T32)","frostbite (T33-T34)","injuries of elbow (S50-S59)","insect bite or sting, venomous (T63.4)"],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":false,"billableFy2027":false},"sibling_codes":["S46.019A","S46.019D","S46.019S"],"inclusionTerms":[],"sibling_titles":{"code":"S46.019S","title":"Strain of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, sequela","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Strain of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder is a non-billable ICD-10-CM category code (S46.019). A more specific billable subcode must be selected for claims submission. Includes: injuries of axilla; injuries of scapular region. Excludes2 (not included here): injury of muscle, fascia and tendon at elbow (S56.-); sprain of joints and ligaments of shoulder girdle (S43.","officialDefinition":"Strain of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder is a non-billable ICD-10-CM category code (S46.019). A more specific billable subcode must be selected for claims submission. Includes: injuries of axilla; injuries of scapular region. Excludes2 (not included here): injury of muscle, fascia and tendon at elbow (S56.-); sprain of joints and ligaments of shoulder girdle (S43.9); 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 (S41.-). 7th character: The appropriate 7th character is to be added to each code from category S46.","seventhCharacterInstructions":["The appropriate 7th character is to be added to each code from category S46"],"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":"","noteProvenance":{"injury of muscle, fascia and tendon at elbow (S56.-)":"S46","sprain of joints and ligaments of shoulder girdle (S43.9)":"S46","burns and corrosions (T20-T32)":"S46","frostbite (T33-T34)":"S46","injuries of elbow (S50-S59)":"S46","insect bite or sting, venomous (T63.4)":"S46","injuries of axilla":"S46","injuries of scapular region":"S46"},"hcc":{"mapped":false,"model":"CMS-HCC V28","paymentYear":"2026","categories":[],"otherModels":[]}}