Rotator cuff tear or rupture, not specified as traumatic. M75.1 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2019 edition of ICD-10-CM M75.1 became effective on October 1, 2018.
ICD-10-CM Diagnosis Code M75.1. 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.
Oct 01, 2021 · 2022 ICD-10-CM Diagnosis Code M75.1 2022 ICD-10-CM Diagnosis Code M75.1 Rotator cuff tear or rupture, not specified as traumatic 2016 2017 2018 2019 2020 2021 2022 Non-Billable/Non-Specific Code M75.1 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual > ... Complete rotator cuff tear or rupture of right shoulder, not specified as traumatic: M75122: Complete rotator cuff tear or rupture of left shoulder, not specified as traumatic: M7520: ... CMS, code-revision=333, description-revision=1331 ...
A traumatic rotator cuff diagnosis is defined as an injury of the rotator cuff ligaments, muscles, and tendons and maps to rotator cuff sprain/strain and/or tear/rupture. ICD-10 codes S46.011A (right shoulder) and S46.012A (left shoulder)
A rotator cuff tear is a rip in the group of four muscles and tendons that stabilize your shoulder joint and let you lift and rotate your arms (your rotator cuff). It's also called a complete tear or a full-thickness tear.Aug 11, 2020
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.
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 .
ICD-10 | Complete rotator cuff tear or rupture of right shoulder, not specified as traumatic (M75. 121)
If the patient does not recall any traumatic event relating to the onset of symptoms the condition is defined as non-traumatic.
Other specified disorders of tendon, right shoulder 813 became effective on October 1, 2021. This is the American ICD-10-CM version of M67. 813 - other international versions of ICD-10 M67.
M75. 102 - Unspecified rotator cuff tear or rupture of left shoulder, not specified as traumatic. ICD-10-CM.
The supraspinatus muscle is the only muscle of the rotator cuff that is not a rotator of the humerus. The infraspinatus is a powerful lateral rotator of the humerus. The tendon of this muscle is sometimes separated from the capsule of the glenohumeral joint by a bursa.
Types of torn rotator cuffs include: Partial: With an incomplete or partial tear, the tendon still somewhat attaches to the arm bone. Complete: With a full-thickness or complete tear, the tendon separates completely from the bone. There's a hole or rip in the tendon.Jan 28, 2021
ICD-10 | Bursitis of right shoulder (M75. 51)
ICD-10 | Pain in right shoulder (M25. 511)
ICD-10 | Impingement syndrome of right shoulder (M75. 41)
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.
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 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.
The ICD code M751 is used to code Rotator cuff tear. A rotator cuff tear is a tear of one or more of the tendons of the four rotator cuff muscles of the shoulder. A rotator cuff 'injury' can include any type of irritation or overuse of those muscles or tendons, and is among the most common conditions affecting the shoulder. Specialty:
Use a child code to capture more detail. ICD Code M75.1 is a non-billable code.