ICD Code S43.401A

ICD code S43.401A is an unspecified sprain of the right shoulder joint, for a patient’s initial encounter for this injury.

1. Patient presents with pain, swelling, or tenderness in the right shoulder following trauma or injury

2. Physical examination reveals decreased range of motion, instability, or weakness in the right shoulder

3. No evidence of fracture or dislocation on imaging studies

4. Clinical assessment does not specify the exact ligament or structure involved in the sprain

5. This is the patient’s initial visit for evaluation and treatment of the current injury

Relevant CPT codes for ICD-10 code S43.401A include:

- 99201–99205 (New patient office or other outpatient visit)

- 99211–99215 (Established patient office or other outpatient visit)

- 73030 (Radiologic examination, shoulder; complete, minimum of two views)

- 23650 (Closed treatment of shoulder dislocation, with manipulation; without anesthesia)

- 23655 (Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia)

- 29806 (Arthroscopy, shoulder, surgical; capsulorrhaphy)

- 29807 (Arthroscopy, shoulder, surgical; repair of SLAP lesion)

- 29826 (Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty)

- 20552 (Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s))

- 20610 (Arthrocentesis, aspiration and/or injection; major joint or bursa)

CPT code selection should be based on the specific services rendered during the encounter for S43.401A.

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