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

ICD-10 Coding for Rotator Cuff Repair

S46.011A
M75.111

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

Also Known as:
Shoulder Tendon Repair
Supraspinatus Repair
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Key Information: ICD-10 Coding for Rotator Cuff Repair

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

Use ICD-10 code S46.011A for strain of muscle(s) and tendon(s) of the rotator cuff of right shoulder, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

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

Billable Code
S46.011A
Billable

Diagnostic Criteria

  • • Presence of trauma leading to the tear

Applicable To

  • • Traumatic tear of right rotator cuff

Important Notes

  • • Ensure documentation specifies the traumatic nature of the tear.

Incomplete rotator cuff tear or rupture of right shoulder, not specified as traumatic

Billable Code
M75.111
Billable

Applicable To

  • • Chronic degenerative tear of right rotator cuff

Important Notes

  • • Ensure documentation reflects the chronic nature and absence of trauma.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z91.128

Patient's intentional underdosing of medication regimen for other reason

Use for documenting aftercare following surgical repair.

Frequently Asked Questions

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

The ICD-10 code for a traumatic rotator cuff tear of the right shoulder is S46.011A. Ensure documentation specifies the traumatic nature of the tear.

How do you code a chronic rotator cuff tear?

For a chronic rotator cuff tear of the right shoulder, use ICD-10 code M75.111. Documentation should reflect the degenerative nature and absence of trauma.

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