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
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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