Facebook tracking pixel
S40.011A
ICD-10-CM
Right Shoulder Contusion

Find information on right shoulder contusion diagnosis, including clinical documentation tips, ICD-10 codes (S40.0-), medical coding guidelines, and healthcare resources. Learn about symptoms, treatment options, and best practices for documenting a right shoulder contusion in medical records. Explore relevant medical terminology, differential diagnosis considerations, and coding compliance for accurate reimbursement. This resource provides valuable insights for physicians, coders, and other healthcare professionals dealing with right shoulder contusion cases.

Also known as

Bruised Right Shoulder
Shoulder Bruise

Diagnosis Snapshot

Key Facts
  • Definition : Bruise of the right shoulder soft tissues caused by a direct blow.
  • Clinical Signs : Pain, swelling, bruising, limited range of motion, tenderness to touch.
  • Common Settings : Sports injuries, falls, direct impact trauma.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC S40.011A Coding
S40-S49

Injuries to the shoulder and upper arm

Covers injuries like contusions, sprains, and fractures of the shoulder and upper arm.

M79.81

Other specified soft tissue disorders

Includes other specified soft tissue disorders, not elsewhere classified.

W00-W19

Slipping, tripping, stumbling and falls

Encompasses falls and their related injuries, a common cause of shoulder contusions.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is there current hemarthrosis?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Right Shoulder Contusion
Right Shoulder Sprain
Right Shoulder Strain

Documentation Best Practices

Documentation Checklist
  • Document mechanism of injury.
  • Specify location of contusion on right shoulder.
  • Describe pain characteristics (type, severity, radiation).
  • Assess range of motion and document limitations.
  • Note presence/absence of ecchymosis, swelling, deformity.

Coding and Audit Risks

Common Risks
  • Unspecified Laterality

    Coding right shoulder contusion without specifying laterality can lead to claim denials and inaccurate data reporting. Use S40.011A for right side.

  • Unclear Documentation

    Vague documentation lacking specifics about the contusion (e.g., location, severity) makes accurate coding difficult and increases audit risk.

  • Missed Associated Injuries

    Failure to code associated injuries (e.g., fractures, dislocations) with right shoulder contusion leads to undercoding and lost revenue.

Mitigation Tips

Best Practices
  • RICE therapy ASAP: Rest, Ice, Compression, Elevation
  • Document detailed injury mechanism, location, and severity
  • Code accurately using ICD-10 S40.0xx for right shoulder contusion
  • Query physician for clarity if documentation lacks specificity
  • Monitor patient progress, document treatment efficacy for compliance

Clinical Decision Support

Checklist
  • Verify trauma to right shoulder area
  • Confirm absence of fracture/dislocation
  • Assess pain, swelling, ecchymosis
  • Document ROM limitations, tenderness

Reimbursement and Quality Metrics

Impact Summary
  • Right Shoulder Contusion reimbursement: ICD-10 S40.0-, CPT 99281-99285 (ED), accurate coding maximizes payment.
  • Contusion coding impacts quality metrics: Accurate documentation crucial for severity tracking, resource utilization.
  • Shoulder injury claims data analysis: Proper coding improves hospital reporting, reduces denials, optimizes revenue cycle.
  • Coding quality affects physician performance: Accurate S40.0- use reflects appropriate care, supports value-based reimbursement.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Frequently Asked Questions

Common Questions and Answers

Q: How can I differentiate between a right shoulder contusion and a more serious injury like a rotator cuff tear or fracture in a clinical setting?

A: Differentiating a right shoulder contusion from more serious injuries like a rotator cuff tear or fracture requires a thorough clinical evaluation. Start with a detailed patient history, focusing on the mechanism of injury, onset of symptoms, and location of pain. Physical examination should assess for range of motion limitations, palpable tenderness, and strength deficits. Specific tests, such as the Empty Can test for supraspinatus tears or the Drop Arm test for rotator cuff tears, can help isolate specific structures. While a contusion typically presents with localized pain, swelling, and ecchymosis without significant functional impairment, rotator cuff tears often exhibit weakness with specific movements and limited active range of motion. Fractures usually present with severe pain, deformity, and sometimes crepitus. Imaging, such as plain radiographs to rule out fractures and ultrasound or MRI for soft tissue injuries like rotator cuff tears, is essential if the clinical picture is unclear. Explore how incorporating a standardized shoulder examination protocol can improve diagnostic accuracy. Consider implementing a decision rule for imaging referral based on clinical findings.

Q: What evidence-based conservative treatment options are most effective for managing pain and restoring function in a patient with a right shoulder contusion, and when should I consider referral to physiotherapy?

A: Conservative management of a right shoulder contusion focuses on pain relief and restoring function. Initially, applying the RICE protocol (Rest, Ice, Compression, Elevation) can help reduce inflammation and pain. Analgesics, like NSAIDs, may be used for pain management. Early mobilization is crucial to prevent stiffness and promote healing. Gentle range-of-motion exercises can be initiated as tolerated by the patient, progressing to strengthening exercises once pain subsides. Referral to physiotherapy should be considered early, especially if the patient experiences significant pain or limitations in function. Physiotherapists can provide tailored exercise programs, manual therapy, and modalities like ultrasound or TENS to optimize recovery. Learn more about current guidelines for rehabilitation protocols for shoulder contusions. Consider implementing a phased rehabilitation approach for optimal functional outcomes.

Quick Tips

Practical Coding Tips
  • Code S40.0xxA for initial encounter
  • Use 'right shoulder' explicitly
  • Document mechanism of injury
  • Consider laterality codes
  • S40.0xxD for subsequent care

Documentation Templates

Patient presents with complaints of right shoulder pain and tenderness consistent with a contusion. Onset of symptoms occurred on [Date of onset] following [Mechanism of injury - e.g., a fall, direct blow to the shoulder].  Patient denies any prior shoulder injuries or dislocations.  Physical examination reveals localized edema, ecchymosis, and pain on palpation over the right shoulder.  Range of motion is limited due to pain, particularly with [Specific movements - e.g., abduction, external rotation].  No crepitus or deformity is noted.  Neurovascular exam of the right upper extremity is intact.  Strength is [Strength grading - e.g., 4/5] compared to the contralateral side.  Assessment: Right shoulder contusion.  Differential diagnoses considered include shoulder sprain, fracture, and rotator cuff tear.  Radiographs of the right shoulder were obtained and are negative for fracture or dislocation.  Plan: Conservative management with RICE therapy (rest, ice, compression, elevation) is recommended.  Patient advised to avoid strenuous activities and lifting with the right arm.  Pain management with over-the-counter analgesics such as ibuprofen or acetaminophen is prescribed as needed.  Follow-up appointment scheduled in [Duration - e.g., one week] to assess symptom improvement and adjust the treatment plan as necessary.  Patient education provided regarding activity modification, pain management, and expected recovery time.  ICD-10 code: S40.011A.