Complete rotatr-cuff tear/ruptr of r shoulder, not trauma

This code signifies a full-thickness tear or rupture of one or more tendons comprising the rotator cuff in the patient's right shoulder. The tear extends through the entire tendon, disrupting its continuity, and the etiology is not explicitly documented as traumatic.

Apply this code when documentation clearly states a "complete" or "full-thickness" rotator cuff tear of the right shoulder, and there is no mention of a specific traumatic event (e.g., fall, direct blow) causing the injury. This is appropriate for degenerative tears or tears where the mechanism of injury is not specified as acute trauma.

• Differentiate carefully between "complete" and "partial" tears; partial tears have different codes.
• Ensure the laterality (right shoulder) is explicitly documented.
• If the documentation specifies a traumatic cause, a different code from the S46.0-S46.2 series would be more appropriate.