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S43.42

⚠ Non-billable (Header)

Sprain of rotator cuff capsule

Injury, poisoning and certain other consequences of external causes (S00-T88)

⚠️ This is a category header code — not billable. Use a more specific child code below.

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❌ Excludes1

direct

Cannot be coded with S43.42

  • • rotator cuff syndrome (complete) (incomplete), not specified as traumatic (M75.1-)

⚠️ Excludes2

direct

May be coded together if both conditions coexist

  • • injury of tendon of rotator cuff (S46.0-)

Child Codes (3)

S43.421Sprain of right rotator cuff capsuleS43.422Sprain of left rotator cuff capsuleS43.429Sprain of unspecified rotator cuff capsule

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Code Information

CodeS43.42
BillableNo — Header code
ParentS43.4
CategoryInjury, poisoning and certain other consequences of external causes (S00-T88)
Excludes11 rule(s)
Excludes21 note(s)
Child codes3

Data Source

CMS ICD-10-CM 2026 Tabular List

Updated October 1, 2025 (FY2026)