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2. ICD-10 Codes
3. Chapter - S00-T88
4. Section - S40-S49
5. Category - S43
6. S43.42

S43.42 - Sprain of rotator cuff capsule

• Applicable to Sprain of rotator cuff capsule
• The 2025 edition of ICD10-CM S43.42 became effective on October 1, 2024.
• This is the American ICD10-CM version of S43.42 - other international versions of ICD10 S43.42 may differ.
• S43.42 is a Non-Billable / Non-Specific ICD10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
• S43.42 Code should not be used for billing or reimbursement purposes as there are multiple ICD-10 CM codes below it that contain a greater level of detail.

Type 1 Excludes

• rotator cuff syndrome (complete) (incomplete), not specified as traumatic (M75.1-)

Type 2 Excludes

• injury of tendon of rotator cuff (S46.0-)

The following codes above S43.42 contain annotation back-references that may be applicable to S43.42:

• Chapter: S00-T88 - Injury, poisoning and certain other consequences of external causes
• Section: S40-S49 - Injuries to the shoulder and upper arm
• Category: S43 - Dislocation and sprain of joints and ligaments of shoulder girdle

Browse other similar CM codes:

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.