Health Information Management

Tip: Note ICD-10-CM specification for rotator cuff injuries

APCs Insider, October 26, 2012

Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

The rotator cuff is a group of tendons and muscles in the shoulder connecting the upper arm to the shoulder blade. The rotator cuff tendons provide stability to the glenohumeral joint, while the muscles allow the shoulder to rotate.

The muscles in the rotator cuff include:
  • Teres minor
  • Infraspinatus
  • Supraspinatus
  • Subscapularis
Each muscle of the rotator cuff inserts at the scapula and has a tendon that attaches to the humerus. Together, the tendons and other tissues form a cuff around the humerus.
ICD-10-CM includes a category of codes specifically for injuries to the rotator cuff (S46.0). These codes include:
  • S46.00, unspecified injury of muscle(s) and tendon(s) of the rotator cuff of shoulder
  • S46.01, strain of muscle(s) and tendon(s) of the ­rotator cuff of shoulder
  • S46.02, laceration of muscle(s) and tendon(s) of the rotator cuff of shoulder
  • S46.09, other injury of muscle(s) and tendon(s) of the rotator cuff of shoulder
These codes do not specify the muscle or tendon of the rotator cuff involved and do not differentiate between muscles and tendons. However, coders will need to add sixth and seventh characters to denote laterality and encounter.
 
 
The tip is adapted from “ICD-10 anatomy refresher: Shoulder” in the October Briefings on APCs.



Want to receive articles like this one in your inbox? Subscribe to APCs Insider!

Most Popular