S46.019S
ICD-10-CMStrain of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, sequela
This code signifies the long-term effects or complications arising from a past strain injury to the rotator cuff muscles and tendons in an unspecified shoulder. These sequelae can include persistent pain, weakness, limited range of motion, or chronic instability that continues after the acute phase of the original injury has resolved.
Apply this code when documenting a patient presenting with ongoing symptoms directly attributable to a previous rotator cuff strain, where the specific shoulder (left or right) was not documented or is unknown. This is appropriate for follow-up visits addressing chronic issues stemming from the initial injury.
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