Unsp inj musc/tend the rotator cuff of r shoulder, init

This code signifies an undiagnosed injury to the muscles and/or tendons comprising the rotator cuff in the patient's right shoulder. It indicates that the specific nature of the rotator cuff damage (e.g., tear, strain, tendinitis) has not yet been determined. This is an acute injury, representing the initial phase of treatment.

Apply this code when a patient presents with symptoms of a right shoulder rotator cuff injury, but diagnostic imaging or clinical assessment has not yet specified the exact type or extent of the damage. This is appropriate for the initial visit where a definitive diagnosis is pending, such as in an emergency department or initial orthopedic consultation.

• Only use this code for the initial encounter for treatment of the injury. Subsequent encounters will require a different seventh character.
• Ensure documentation clearly indicates the injury is to the right shoulder and that the specific type of rotator cuff injury is unspecified.
• If the specific rotator cuff injury (e.g., tear, tendinitis) is known, a more specific code should be selected.