icd 10 code for supraspinatus tendon tear

by Clifford Schneider 6 min read

The physician documents the injury diagnosis as a rotator cuff (supraspinatus) tear of the right shoulder. The physician, in the electronic medical record (EMR) appropriately selects ICD-10 code S46. 011A.

What are the different treatments for a supraspinatus tear?

ICD-10-CM Diagnosis Code S46.011A [convert to ICD-9-CM] Strain of muscle (s) and tendon (s) of the rotator cuff of right shoulder, initial encounter. Strain of musc/tend the rotator cuff of right shoulder, init; Right infraspinatus strain; Right infraspinatus tendon tear; Right rotator cuff strain; Right subscapularis strain; Right subscapularis tendon tear; Right supraspinatus strain; Right …

How does a supraspinatus tendon heal itself?

ICD-10-CM Diagnosis Code S83.241A. Other tear of medial meniscus, current injury, right knee, initial encounter. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code. ICD-10-CM Diagnosis Code S46.011A [convert to ICD-9-CM] Strain of muscle (s) and tendon (s) of the rotator cuff of right shoulder, initial encounter. Strain of musc/tend the rotator cuff of right shoulder, …

How to pronounce supraspinatus tendon?

Rotator cuff tear or rupture, not specified as traumatic. Supraspinatus syndrome; Supraspinatus syndrome (shoulder condition); tear of rotator cuff, traumatic (S46.01-); Rotator cuff syndrome; Supraspinatus tear or rupture, not specified as traumatic; Supraspinatus syndrome. ICD-10-CM Diagnosis Code M75.1.

What causes a tendon to tear?

Oct 01, 2021 · Left supraspinatus tendon tear Traumatic left rotator cuff tear ICD-10-CM S46.012A is grouped within Diagnostic Related Group (s) (MS-DRG v39.0): 562 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc 563 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc

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What is the ICD-10 code for right shoulder supraspinatus tear?

M75.121ICD-10 code M75. 121 for Complete rotator cuff tear or rupture of right shoulder, not specified as traumatic is a medical classification as listed by WHO under the range - Soft tissue disorders .

What is the ICD-10 code for left supraspinatus tear?

M75. 102 - Unspecified rotator cuff tear or rupture of left shoulder, not specified as traumatic. ICD-10-CM.

What is the ICD-10 code for supraspinatus tendinopathy?

The ICD-10-CM code M75. 81 might also be used to specify conditions or terms like bone spur of right shoulder, exostosis of right shoulder, supraspinatus tendinitis, tendinitis of right supraspinatus tendon or tendinitis of rotator cuff tendon.

Is a supraspinatus tendon tear the same as a rotator cuff tear?

A supraspinatus tear is a tear or rupture of the tendon of the supraspinatus muscle. The supraspinatus is part of the rotator cuff of the shoulder. Most of the time it is accompanied with another rotator cuff muscle tear.

What is the supraspinatus tendon?

The supraspinatus tendon is located on the back of your shoulder and helps your arm to move throughout its full range of motion – and helps with power and strength.Jul 24, 2019

What is the ICD-10 code for left shoulder injury?

Unspecified injury of left shoulder and upper arm, initial encounter. S49. 92XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is supraspinatus tendinopathy?

Supraspinatus tendinopathy is a common source of shoulder pain in athletes that participate in overhead sports (handball, volleyball, tennis, baseball). This tendinopathy is in most cases caused by an impingement of the supraspinatus tendon on the acromion as it passes between the acromion and the humeral head.

What is the ICD-10 code for tendinosis shoulder?

M75.21ICD-10 code M75. 21 for Bicipital tendinitis, right shoulder is a medical classification as listed by WHO under the range - Soft tissue disorders .

How do you code tendinopathy in ICD-10?

ICD-10-CM M67. 90 is grouped within Diagnostic Related Group(s) (MS-DRG v39.0): 557 Tendonitis, myositis and bursitis with mcc. 558 Tendonitis, myositis and bursitis without mcc.

What is an Intrasubstance tear of the supraspinatus tendon?

Intrasubstance rotator cuff tears also known as concealed interstitial delaminations (CID) are concealed partial-thickness rotator cuff tears neither extending to the articular nor the bursal side of the rotator cuff.Jun 24, 2020

What is ICD 10 code for rotator cuff tear?

Complete rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic. M75. 120 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is considered a large supraspinatus tear?

Massive rotator cuff tears are tears greater than 5cm in size and involve at least both the supraspinatus and infraspinatus components of the rotator cuff. They may extend into the subscapularis and teres minor also. A massive tear is unusual in a young patient (under 60 years of age).Jan 19, 2022

What is the ICd 10 code for a traumatic rotator cuff injury?

ICD-10 codes S46.011A (right shoulder) and S46.012A (left shoulder) are for strain/tear/rupture OR S43.421A (right shoulder) and S43.422A (left shoulder) are for sprain/tear/rupture.

What is the ICD-10 code for shoulder injury?

The physician documents the injury diagnosis as a rotator cuff (supraspinatus) tear of the right shoulder. The physician, in the electronic medical record (EMR) appropriately selects ICD-10 code S46.011A. Because the ICD-10 code book reflects the industry description, the EMR printout of the medical documentation may state “strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder”. Even though the formal industry description of S46.011A doesn’t include “tear”, it is a part of this ICD code due to mapping (see the mapping algorithm). Since the physician has documented a rotator cuff tear and has supporting medical documentation (MRI), BWC will base the injury description on the rotator cuff tear and BWC’s claim allowance would be modified to reflect the tear.

When a traumatic injury involves a sprain, strain or tear of the muscles or tendons of

When a traumatic injury involves a sprain, strain or tear of the muscles or tendons of the rotator cuff of the shoulder , the provider will document the nature and description of the injury fully in the medical notes. BWC uses this description to identify the allowance.

What is the ICd 10 code for a ruptured rotator cuff?

M75.110 is a billable diagnosis code used to specify a medical diagnosis of incomplete rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic. The code M75.110 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code M75.110 might also be used to specify conditions or terms like rupture of infraspinatus tendon, rupture subscapularis tendon, supraspinatus tear, tendon rupture - shoulder, tendon rupture - shoulder , tendon rupture - shoulder, etc.#N#The code is commonly used in orthopedics medical specialties to specify clinical concepts such as selected shoulder conditions.#N#Unspecified diagnosis codes like M75.110 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Why does my rotator cuff tear?

Rotator cuff tendons can become inflamed from frequent use or aging. Sometimes they are injured from a fall on an outstretched hand. Sports or jobs with repeated overhead motion can also damage the rotator cuff. Aging causes tendons to wear down, which can lead to a tear.

What is the M75.110 code?

The code is commonly used in orthopedics medical specialties to specify clinical concepts such as selected shoulder conditions. Unspecified diagnosis codes like M75.110 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, ...

Can a torn rotator cuff hurt?

Aging causes tendons to wear down, which can lead to a tear. Some tears are not painful, but others can be very painful. Treatment for a torn rotator cuff depends on age, health, how severe the injury is, and how long you've had the torn rotator cuff. Treatment for torn rotator cuff includes: Rest.

What is tendonitis in rotator cuff?

As it pertains to tendons, Rotator Cuff and in general for all other tendons, "Tendinosis" is one of the many terms used by Orthopedic Surgeons to indicate an "abnormality" of the tendon which they think is causing the patient's problem.

Is calcified bursa specific?

Bicipital Tendinitis is specific. Calcific Tendinitis is specific, but is incorrectly described as "calcified bursa," which it is not. The calcium is within the tendon. M75.5 _ is for "bursitis" of the shoulder, but doesn't include the word "tendinitis.".

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