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Home/Diagnosis/ICD-10 Coding for Full Thickness Rotator Cuff Tear

ICD-10 Coding for Full Thickness Rotator Cuff Tear

M75.121
S46.011A

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

Also Known as:
Complete Rotator Cuff Tear
Full Thickness Tear of Supraspinatus
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Key Information: ICD-10 Coding for Full Thickness Rotator Cuff Tear

Essential facts and insights about ICD-10 Coding for Full Thickness Rotator Cuff Tear

Use ICD-10 code M75.121 for complete rotator cuff tear/rupture of right shoulder, not specified as traumatic, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Complete rotator cuff tear/rupture of right shoulder, not specified as traumatic

Billable Code
M75.121
Billable

Diagnostic Criteria

clinical:
  • • MRI shows full-thickness tear
documentation:
  • • No trauma history documented

Applicable To

  • • Full thickness tear of right shoulder

Important Notes

  • • Ensure documentation specifies 'full-thickness' and laterality.

Traumatic rupture of right rotator cuff, initial encounter

Billable Code
S46.011A
Billable

Diagnostic Criteria

clinical:
  • • Documented traumatic event leading to tear
  • • Immediate onset of symptoms post-trauma

Applicable To

  • • Acute traumatic tear of right rotator cuff

Important Notes

  • • Ensure trauma is documented as the cause of the tear.
Ancillary Codes

Additional codes that may be used with this diagnosis

M75.4

Impingement syndrome of shoulder

Use if impingement syndrome is present alongside the tear.

Frequently Asked Questions

What is the ICD-10 code for a full thickness rotator cuff tear?

The ICD-10 code for a non-traumatic full thickness rotator cuff tear of the right shoulder is M75.121.

How do you code a traumatic rotator cuff tear?

For a traumatic rotator cuff tear of the right shoulder, use ICD-10 code S46.011A.

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