Strain of musc/tend the rotator cuff of r shoulder, sequela

This code signifies a chronic or late-occurring consequence resulting from a previous strain injury to the rotator cuff muscles and tendons in the right shoulder. It indicates that the initial acute injury has resolved, but the patient continues to experience residual effects such as pain, weakness, or limited range of motion directly attributable to that past strain.

Apply this code when documenting a patient presenting with persistent symptoms in the right shoulder that are a direct result of a prior rotator cuff strain, even after the acute phase of the original injury has passed. This is appropriate for conditions like chronic pain, stiffness, or functional limitations that are a sequela of the initial strain, rather than an acute or current injury.

• Always use this code as a secondary diagnosis, following the code for the primary condition or symptom being treated.
• Ensure documentation clearly links the current symptoms to a previous rotator cuff strain.
• Do not use for acute or current rotator cuff strains; those require codes from the initial encounter or subsequent encounter categories.