S43.42
Non-billableSprain of rotator cuff capsule
S43.42 is the ICD-10-CM code for Sprain of rotator cuff capsule. It is a non-billable category code — use a more specific child code such as S43.421 for billing.
S00-T88 Injury, poisoning and certain other consequences of external causes
What this means — in plain language
MedlinePlus · NIHWhat is a rotator cuff? Your rotator cuff is part of your shoulder joint . It's a group of muscles and tendons that holds the top part of your upper arm bone firmly in your shoulder socket. The rotator cuff keeps your shoulder stable when you move your arm in any direction. What are rotator cuff injuries? Rotator cuff injuries are common. Most of them are wear-and-tear injuries from doing the same arm movements over…
Read more about Rotator Cuff Injuries at MedlinePlus ↗Source: U.S. National Library of Medicine (MedlinePlus). Informational only — not medical advice.
Excludes1 — not coded here
- •rotator cuff syndrome (complete) (incomplete), not specified as traumatic (M75.1-)
Excludes2 — not included here
- •injury of tendon of rotator cuff (S46.0-)
Frequently asked questions
- What is ICD-10 code S43.42?
- S43.42 is the ICD-10-CM code for "Sprain of rotator cuff capsule". It falls under S00-T88 Injury, poisoning and certain other consequences of external causes.
- Is S43.42 a billable code?
- No — S43.42 is a non-billable header code. Use a more specific child code (such as S43.421) for billing.
- What are the subcodes of S43.42?
- S43.42 has 3 more specific child codes, including S43.421, S43.422, S43.429.
- What is excluded from S43.42?
- Excludes1 (not coded here): rotator cuff syndrome (complete) (incomplete), not specified as traumatic (M75.1-).
Source: CMS ICD-10-CM FY2026. For informational purposes only — not medical advice. See our medical disclaimer.
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