S43.42 Sprain of rotator cuff capsule

The ICD-10-CM code for Sprain of rotator cuff capsule is S43.42 (FY2026). It is a non-billable category code — select a more specific code below for claims.

Classification

Chapter

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

Section

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

Category S43

143 codes (111 billable)

FY2026 Status

Stable since FY2024

Also Known As

ICD-10-CM Alphabetic Index entries that lead to S43.42:

• Sprain (joint) (ligament) › rotator cuff (capsule)
• Tear, torn (traumatic) › rotator cuff (nontraumatic) › traumatic › capsule

Official Coding Guidelines

Sequence blood vessel/nerve injury first (fragment)

injury is to the blood vessels or nerves, that injury should be sequenced first.

Do not assign injury codes for iatrogenic injuries; code complication

3) Iatrogenic injuries Injury codes from Chapter 19 should not be assigned for injuries that occur during, or as a result of, a medical intervention. Assign the appropriate complication code(s).

Source: CMS — ICD-10-CM Official Guidelines for Coding and Reporting, FY2026

References

• CMS — ICD-10-CM Official Code Set and Guidelines, FY2026
• CDC/NCHS — ICD-10-CM Files and Browser Tool

Cite This Page

Reference S43.42 with the canonical source and edition:

S43.42 — Sprain of rotator cuff capsule. ICD-10 Coding Pro (ICD-10-CM FY2026). https://icd10codingpro.com/codes/S43.42

Canonical URL: https://icd10codingpro.com/codes/S43.42