S43.42 ICD-10-CM Code: Sprain of rotator cuff capsule
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S43.42 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- 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
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- rotator cuff syndrome (complete) (incomplete), not specified as traumatic (M75.1-) Compare S43.42 vs M75.1 →
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- injury of tendon of rotator cuff (S46.0-) Compare S43.42 vs S46.0 →
- strain of muscle, fascia and tendon of shoulder and upper arm (S46.-) Compare S43.42 vs S46 →
- burns and corrosions (T20-T32) Compare S43.42 vs T20 →
- frostbite (T33-T34) Compare S43.42 vs T33 →
- injuries of elbow (S50-S59) Compare S43.42 vs S50 →
- insect bite or sting, venomous (T63.4) Compare S43.42 vs T63.4 →
Code Also
Additional codes that may be required to fully describe the encounter.
- any associated open wound
Frequently Compared Codes
The official Excludes notes on S43.42 name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Not billable as written — a more specific code is required.
- Requires a 7th character. "The appropriate 7th character is to be added to each code from category S43" Options: S43.421A, S43.421D, S43.421S, S43.422A, S43.422D, S43.422S
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of S43.42 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88) [Hierarchy]
Excludes1
- M75.1 — Rotator cuff tear or rupture, not specified as traumatic [Excludes1]: “rotator cuff syndrome (complete) (incomplete), not specified as traumatic (M75.1-)” · check together
Excludes2
- S46.0 — Injury of muscle(s) and tendon(s) of the rotator cuff of shoulder [Excludes2]: “injury of tendon of rotator cuff (S46.0-)” · check together
Nearest codes (40)
- S43 — Dislocation and sprain of joints and ligaments of shoulder girdle [Sibling]
- S43.402A — Unspecified sprain of left shoulder joint, initial encounter [Sibling]
- S43.402D — Unspecified sprain of left shoulder joint, subsequent encounter [Sibling]
- S43.402S — Unspecified sprain of left shoulder joint, sequela [Sibling]
- S43.409 — Unspecified sprain of unspecified shoulder joint [Sibling]
- S43.409A — Unspecified sprain of unspecified shoulder joint, initial encounter [Sibling]
- S43.409D — Unspecified sprain of unspecified shoulder joint, subsequent encounter [Sibling]
- S43.409S — Unspecified sprain of unspecified shoulder joint, sequela [Sibling]
- and 32 more
Frequently Asked Questions (FAQ) & Clinical Guidance
Can S43.42 be billed directly?
No. S43.42 (Sprain of rotator cuff capsule) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does S43.42 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S43.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S43.42 in its code family, with their registry titles.
- S43.412S — Sprain of left coracohumeral (ligament), sequela
- S43.419 — Sprain of unspecified coracohumeral (ligament)
- S43.419A — Sprain of unspecified coracohumeral (ligament), initial encounter
- S43.419D — Sprain of unspecified coracohumeral (ligament), subsequent encounter
- S43.419S — Sprain of unspecified coracohumeral (ligament), sequela
- S43.421 — Sprain of right rotator cuff capsule
- S43.421A — Sprain of right rotator cuff capsule, initial encounter
- S43.421D — Sprain of right rotator cuff capsule, subsequent encounter
- S43.421S — Sprain of right rotator cuff capsule, sequela
- S43.422 — Sprain of left rotator cuff capsule