S46.009D
ICD-10-CMUnspecified injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, subsequent encounter
This code signifies an injury to the rotator cuff muscles and/or tendons in a shoulder, where the specific nature of the injury (e.g., strain, tear) and the affected shoulder (left or right) are not documented. The "subsequent encounter" designation indicates that the patient is receiving follow-up care for this previously diagnosed or treated injury.
This code is appropriate for encounters where a patient is being seen for ongoing management, healing, or rehabilitation of an unspecified rotator cuff injury, and the medical record does not specify laterality or the precise type of injury. This often occurs when the initial diagnosis was vague or when the focus of the current visit is on general recovery rather than a new assessment of the injury's specifics.
AI-generated reference — verify against official guidelines
+5 more in this category