S43.429 — Sprain of unspecified rotator cuff capsule
Is S43.429 billable?
No — S43.429 is a non-billable header code. S43.429 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 3 billable codes beneath S43.429.
S43.429 at a glance
| Code | S43.429 |
|---|---|
| Description | Sprain of unspecified rotator cuff capsule |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is S43.429 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under S43.42, the nearest indexed parent of S43.429. Use them to find the family, then select the specific code.
- Sprain › rotator cuff (joint) (ligament)
- Tear, torn › rotator cuff › traumatic › capsule (traumatic)
Excludes1 — never code together — inherited from S43.42
The conditions below can never be reported together with S43.429 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- rotator cuff syndrome (complete) (incomplete), not specified as traumatic (M75.1-)
Use additional code — inherited from Chapter 19
Report an additional code alongside S43.429 to fully describe the condition. S43.429 is sequenced first.
- code to identify any retained foreign body, if applicable (Z18.-)
Excludes2 — not included here — inherited from Chapter 19
The conditions below are not part of S43.429, but a patient may have both at the same time. When documentation supports it, S43.429 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S40-S49
The conditions below are not part of S43.429, but a patient may have both at the same time. When documentation supports it, S43.429 and the excluded code may both be reported.
Excludes2 — not included here — inherited from S43
The conditions below are not part of S43.429, but a patient may have both at the same time. When documentation supports it, S43.429 and the excluded code may both be reported.
- strain of muscle, fascia and tendon of shoulder and upper arm (S46.-)
Excludes2 — not included here — inherited from S43.42
The conditions below are not part of S43.429, but a patient may have both at the same time. When documentation supports it, S43.429 and the excluded code may both be reported.
- injury of tendon of rotator cuff (S46.0-)
Code also — inherited from S43
Two codes may be needed to describe the condition fully. Whether S43.429 is sequenced first depends on the reason for the encounter.
- any associated open wound
What codes fall under S43.429? (3)
How long has S43.429 existed?
S43.429 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.