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Home/Diagnosis/ICD-10 Coding for Rotator Cuff Arthropathy

ICD-10 Coding for Rotator Cuff Arthropathy

M75.122
M19.91

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

Also Known as:
RCTA
Cuff Tear Arthropathy
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Key Information: ICD-10 Coding for Rotator Cuff Arthropathy

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

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

  • • Presence of a complete tear on imaging without trauma history

Applicable To

  • • Complete non-traumatic tear of left shoulder

Important Notes

  • • Ensure documentation clearly differentiates between traumatic and non-traumatic causes.

Unspecified osteoarthritis

Billable Code
M19.91
Billable

Diagnostic Criteria

  • • Imaging showing joint degeneration
  • • Linkage to rotator cuff pathology

Applicable To

  • • Osteoarthritis secondary to rotator cuff tear

Important Notes

  • • Ensure osteoarthritis is documented as secondary to the rotator cuff condition.
Ancillary Codes

Additional codes that may be used with this diagnosis

M75.41

Impingement syndrome of shoulder

Use if impingement syndrome is documented alongside the tear.

Frequently Asked Questions

How is rotator cuff arthropathy coded in ICD-10?

Rotator cuff arthropathy is coded using M75.122 for the complete non-traumatic tear and M19.91 for the associated osteoarthritis.

What documentation is needed for coding RCTA?

Documentation must include imaging findings of a complete tear and joint degeneration, linking osteoarthritis to the rotator cuff tear.

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