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Home/Diagnosis/ICD-10 Coding for Left Rotator Cuff Tear

ICD-10 Coding for Left Rotator Cuff Tear

M75.122
S46.012A

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

Also Known as:
Left Shoulder Rotator Cuff Tear
Non-traumatic Left Rotator Cuff Tear
Traumatic Left Rotator Cuff Tear
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Key Information: ICD-10 Coding for Left Rotator Cuff Tear

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

Use ICD-10 code M75.122 for complete rotator cuff tear or rupture of left shoulder, not specified as traumatic, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Complete rotator cuff tear or rupture of left shoulder, not specified as traumatic

Billable Code
M75.122
Billable

Diagnostic Criteria

  • • MRI confirms full-thickness tear without trauma history.

Applicable To

  • • Full thickness tear
  • • Nontraumatic rupture

Important Notes

  • • Ensure documentation specifies 'non-traumatic' and 'complete'.

Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounter

Billable Code
S46.012A
Billable

Diagnostic Criteria

  • • Documented trauma or injury
  • • Acute onset of symptoms

Applicable To

  • • Traumatic rupture

Important Notes

  • • Ensure trauma is clearly documented in the patient's history.
Ancillary Codes

Additional codes that may be used with this diagnosis

M75.51

Bursitis of left shoulder

Use if bursitis is present alongside the rotator cuff tear.

S43.422A

Sprain of rotator cuff capsule of left shoulder, initial encounter

Use if there is an associated capsule sprain.

Frequently Asked Questions

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

The ICD-10 code for a non-traumatic complete left rotator cuff tear is M75.122. It is used when the tear is confirmed by imaging and there is no history of trauma.

How do you code a traumatic left rotator cuff tear?

For a traumatic left rotator cuff tear, use ICD-10 code S46.012A. This code is applicable when the tear results from a specific injury or trauma.

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