Unspecified sprain of right shoulder joint, initial encounter
ICD-10 Code: S43.401A · Body Part: Shoulder
QME Evaluation Process
Shoulder stability testing, ROM assessment, MRI review for labral or ligamentous injury. UE impairment rating based on ROM loss or instability.
Typical Impairment Rating
3-10% UE (2-6% WPI)
AMA Guides Edition
5th Edition
Common Treatments
Related Conditions
Body Part Guide
Shoulder Evaluation Guide
Impairment rating methods, common conditions, and QME evaluation protocols
QME Specialties for Unspecified sprain of right shoulder joint, initial encounter
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What is Unspecified sprain of right shoulder joint, initial encounter (S43.401A)?
Unspecified sprain of right shoulder joint, initial encounter is an ICD-10 diagnosis code (S43.401A) classified under Musculoskeletal conditions. It affects the Shoulder and is commonly encountered in California workers' compensation claims. QME physicians evaluate this condition using AMA Guides 5th Edition protocols.
How is S43.401A rated for impairment?
The typical whole person impairment (WPI) range for Unspecified sprain of right shoulder joint, initial encounter is 3-10% UE (2-6% WPI). The exact rating depends on clinical findings, imaging, and the evaluation method (DRE or ROM) chosen by the QME physician per AMA Guides 5th Edition.
What is the QME evaluation process for S43.401A?
Shoulder stability testing, ROM assessment, MRI review for labral or ligamentous injury. UE impairment rating based on ROM loss or instability.
What treatments are common for Unspecified sprain of right shoulder joint, initial encounter?
Common treatments for Unspecified sprain of right shoulder joint, initial encounter include Physical therapy, Sling immobilization, Arthroscopic repair for labral tears. Treatment appropriateness and outcomes are considered during the QME evaluation when determining permanent and stationary status and apportionment.