S43.422A

Billable

ChapterS00–T88

Ranksubcategory

Official Description

Sprain of left rotator cuff capsule, initial encounter

Metadata & Insights

•Billable/specific code (valid for reimbursement).
•Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88).

General instructions are available for the parent sections:

View CH19 Notes View S40-S49 Notes View S43 Notes View S43.42 Notes

Clinical Hierarchy

BillableHas subcodes

CH19Injury, poisoning and certain other consequences of external causes (S00-T88)

S40-S49Injuries to the shoulder and upper arm (S40-S49)

S43Dislocation and sprain of joints and ligaments of shoulder girdle

S43.4Sprain of shoulder joint

S43.42Sprain of rotator cuff capsule

S43.422Sprain of left rotator cuff capsule

S43.422ASprain of left rotator cuff capsule, initial encounterBillable

Applicable Ancestor Context

The following parent sections contain instructions or notes that apply to S43.422A:

subcategoryS43.42

Sprain of rotator cuff capsule

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categoryS43

Dislocation and sprain of joints and ligaments of shoulder girdle

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blockS40-S49

Injuries to the shoulder and upper arm (S40-S49)

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chapterCH19

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

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MS-DRG Classification

2026 v43.1

This code is grouped within the following Diagnosis Related Group(s) for clinical reimbursement:

DRG 562

Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with MCC

DRG 563

Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without MCC

DRG 963

Other Multiple Significant Trauma with MCC

DRG 964

Other Multiple Significant Trauma with CC

DRG 965

Other Multiple Significant Trauma without CC/MCC

Cross Reference

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