Complete ICD-10-CM coding and documentation guide for icd-10 coding for right rotator cuff tear includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Right Rotator Cuff Tear
Use ICD-10 code M75.121 for complete rotator cuff tear or rupture of right shoulder, not specified as traumatic, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Impingement syndrome of right shoulder
Use when impingement is present alongside the tear.
Pain in right shoulder
Use to document associated shoulder pain.
Encounter for other orthopedic aftercare
Use for follow-up care post-surgery.
The ICD-10 code for a complete non-traumatic right rotator cuff tear is M75.121, while S46.011A is used for traumatic tears.
For a traumatic right rotator cuff tear, use ICD-10 code S46.011A, ensuring documentation of the traumatic event.