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Home/Diagnosis/ICD-10 Coding for Disorder of Rotator Cuff

ICD-10 Coding for Disorder of Rotator Cuff

M75.1
S46.01-

Complete ICD-10-CM coding and documentation guide for icd-10 coding for disorder of rotator cuff includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Rotator Cuff Tear
Rotator Cuff Injury
Shoulder Tendon Tear
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Key Information: ICD-10 Coding for Disorder of Rotator Cuff

Essential facts and insights about ICD-10 Coding for Disorder of Rotator Cuff

Use ICD-10 code M75.1 for rotator cuff tear or rupture, not specified as traumatic, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Rotator cuff tear or rupture, not specified as traumatic

Non-Billable
M75.1
Non-Billable

Diagnostic Criteria

clinical:
  • • MRI shows degenerative changes without acute injury.
documentation:
  • • Patient history lacks recent trauma.

Applicable To

  • • Degenerative rotator cuff tear
  • • Chronic rotator cuff tear

Important Notes

  • • Ensure documentation specifies non-traumatic nature.

Traumatic rupture of rotator cuff

Non-Billable
S46.01-
Non-Billable

Diagnostic Criteria

clinical:
  • • Documented history of trauma
  • • Imaging confirming acute tear

Applicable To

  • • Acute rotator cuff tear due to trauma

Important Notes

  • • Ensure trauma is documented and linked to the tear.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.51-

Shoulder pain

Use for associated shoulder pain if documented.

Frequently Asked Questions

What is the ICD-10 code for a non-traumatic rotator cuff tear?

The ICD-10 code for a non-traumatic rotator cuff tear is M75.1, which includes degenerative tears not caused by trauma.

How do you code a traumatic rotator cuff tear?

A traumatic rotator cuff tear is coded as S46.01-, which requires documentation of an acute injury event.

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