ICD-10/S46.01

S46.01 ICD 2026 Code: Strain of muscle(s) and tendon(s) of the rotator cuff of shoulder

S46.01 is the authoritative medical code for Strain of muscle(s) and tendon(s) of the rotator cuff of shoulder. This classification is used in medical billing and clinical recording to specify the clinical criteria for strain of muscle(s) and tendon(s) of the rotator cuff of shoulder (ICD-10-CM S46.01), ensuring healthcare documentation aligns with 2026 federal coding standards.

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Strain of muscle(s) and tendon(s) of the rotator cuff of shoulder is a non-billable ICD-10-CM category code S46.01. 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.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for S46.01 in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • injuries of axilla
  • injuries of scapular region

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

  • 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

Additional codes that may be required to fully describe the encounter.

  • any associated open wound S41.-

Frequently Asked Questions (FAQ) & Clinical Guidance

Can S46.01 be billed directly?

No. S46.01 (Strain of muscle(s) and tendon(s) of the rotator cuff of shoulder) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does S46.01 require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category S46.

Can S46.01 be reported alongside related conditions?

Per Excludes2 instructions, S46.01 and the following may both be reported when both are present: 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).

Codes in This Family (40)

Official ICD-10-CM classifications in the same code family as S46.01, with their registry titles.

  • S46 — Injury of muscle, fascia and tendon at shoulder and upper arm level
  • S46.0 — Injury of muscle(s) and tendon(s) of the rotator cuff of shoulder
  • S46.00 — Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of shoulder
  • S46.001 — Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder
  • S46.001A — Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounter
  • S46.001D — Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder, subsequent encounter
  • S46.001S — Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of right shoulder, sequela
  • S46.002 — Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder
  • S46.002A — Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounter
  • S46.002D — Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder, subsequent encounter
  • S46.002S — Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of left shoulder, sequela
  • S46.009 — Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder
  • S46.009A — Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, initial encounter
  • S46.009D — Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, subsequent encounter
  • S46.009S — Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, sequela
  • S46.011 — Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder
  • S46.011A — Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounter
  • S46.011D — Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, subsequent encounter
  • S46.011S — Strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, sequela
  • S46.012 — Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder
  • S46.012A — Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounter
  • S46.012D — Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, subsequent encounter
  • S46.012S — Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, sequela
  • S46.019 — Strain of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder
  • S46.019A — Strain of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, initial encounter
  • S46.019D — Strain of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, subsequent encounter
  • S46.019S — Strain of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, sequela
  • S46.02 — Laceration of muscle(s) and tendon(s) of the rotator cuff of shoulder
  • S46.021 — Laceration of muscle(s) and tendon(s) of the rotator cuff of right shoulder
  • S46.021A — Laceration of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounter
  • S46.021D — Laceration of muscle(s) and tendon(s) of the rotator cuff of right shoulder, subsequent encounter
  • S46.021S — Laceration of muscle(s) and tendon(s) of the rotator cuff of right shoulder, sequela
  • S46.022 — Laceration of muscle(s) and tendon(s) of the rotator cuff of left shoulder
  • S46.022A — Laceration of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounter
  • S46.022D — Laceration of muscle(s) and tendon(s) of the rotator cuff of left shoulder, subsequent encounter
  • S46.022S — Laceration of muscle(s) and tendon(s) of the rotator cuff of left shoulder, sequela
  • S46.029 — Laceration of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder
  • S46.029A — Laceration of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, initial encounter
  • S46.029D — Laceration of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, subsequent encounter
  • S46.029S — Laceration of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, sequela

Related Codes & Numerical Sequence (Crawl Map)

Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures:

ICD Code S41.01 Laceration without foreign body of shoulder
ICD Code S42.01 Fracture of sternal end of clavicle
ICD Code S43.01 Anterior subluxation and dislocation of humerus
ICD Code S44.01 Injury of ulnar nerve at upper arm level, right arm
ICD Code S45.01 Laceration of axillary artery
ICD Code S48.01 Complete traumatic amputation at shoulder joint
ICD Code S49.01 Salter-Harris Type I physeal fracture of upper end of humerus
ICD Code S50.01 Contusion of right elbow
ICD Code S51.01 Laceration without foreign body of elbow
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