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

ICD-10 Coding for Left Shoulder Rotator Cuff Tear

M75.122

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

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

Essential facts and insights about ICD-10 Coding for Left Shoulder 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

clinical:
  • • MRI confirms full-thickness tear without trauma history
documentation:
  • • Laterality and completeness must be documented

Applicable To

  • • Complete tear of left rotator cuff
  • • Rupture of left rotator cuff

Important Notes

  • • Ensure documentation specifies 'complete' and 'non-traumatic' to avoid misclassification.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.512

Pain in left shoulder

Use to document associated shoulder pain.

M75.41

Impingement syndrome of left shoulder

Use if impingement syndrome is present.

Frequently Asked Questions

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

The ICD-10 code for a complete non-traumatic tear of the left shoulder rotator cuff is M75.122.

How do you code a traumatic rotator cuff tear?

For a traumatic rotator cuff tear, use ICD-10 code S46.012A, which requires documentation of an acute injury.

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