S46.009S

Unspecified injury of muscle(s) and tendon(s) of the rotator cuff of unspecified shoulder, sequela

Billable code

This code does not map to a risk-adjusting HCC in the loaded models.

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

Inherited from S46Injury of muscle, fascia and tendon at shldr/up arm
Excludes 2

injury of muscle, fascia and tendon at elbow (S56.-) sprain of joints and ligaments of shoulder girdle (S43.9)

Code also

any associated open wound (S41.-)

7th character

The appropriate 7th character is to be added to each code from category S46

Valid 7th characters and their meanings
CharacterMeaning
Ainitial encounter
Dsubsequent encounter
Ssequela
Inherited from S40-S49Injuries to the shoulder and upper arm
Includes

injuries of axilla injuries of scapular region

Excludes 2

burns and corrosions (T20-T32) frostbite (T33-T34) injuries of elbow (S50-S59) insect bite or sting, venomous (T63.4)

Inherited from chapter 19Injury, poisoning and certain other consequences of external causes
Excludes 2

birth trauma (P10-P15) obstetric trauma (O70-O71)

Use additional

code to identify any retained foreign body, if applicable (Z18.-)

Note

Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes. (T07-T88) Injury, poisoning and certain other consequences of external causes (T07-T88) (T20-T32) Burns and corrosions (T20-T32) Includes: burns (thermal) from electrical heating appliances burns (thermal) from electricity burns (thermal) from flame burns (thermal) from friction burns (thermal) from hot air and hot gases burns (thermal) from hot objects burns (thermal) from lightning burns (thermal) from radiation chemical burn [corrosion] (external) (internal) scalds Excludes2: erythema [dermatitis] ab igne (L59.0) radiation-related disorders of the skin and subcutaneous tissue (L55-L59) sunburn (L55.-)

Official Guidelines for S46.009S

FY 2026 ›
I.C.19Chapter-specific guidanceChapter 19: Injury, poisoning, and certain other consequences of external causes (S00-T88)

Subsections

Sections that reference S46.009S

Sections whose FY 2026 text names S46.009S, its S46 category, or a range containing it — the chapter guidance above is the authoritative source.