Unspecified sprain of right shoulder joint, init encntr

This code signifies a general sprain injury affecting the right shoulder joint, where the specific ligament or structure involved is not documented. It indicates an acute injury, representing the initial phase of treatment for this condition.

This code is appropriate when a patient presents with symptoms of a right shoulder sprain (e.g., pain, swelling, limited range of motion) and the provider's documentation confirms a sprain but does not specify the exact ligament or capsule affected. It should be used for the initial visit or encounter for this specific injury.

• Ensure documentation clearly states "sprain" of the right shoulder and lacks further specificity.
• Verify the encounter is the initial treatment for this injury; subsequent encounters will require a different 7th character.
• Avoid using this code if a more specific diagnosis (e.g., rotator cuff tear, specific ligament sprain) is documented.