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

ICD-10 Coding for Rotator Cuff Syndrome

M75.111
S46.011A

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

Also Known as:
Rotator Cuff Tear
Shoulder Impingement Syndrome
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Key Information: ICD-10 Coding for Rotator Cuff Syndrome

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

Use ICD-10 code M75.111 for incomplete rotator cuff tear or rupture of right shoulder, not specified as traumatic, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

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

Billable Code
M75.111
Billable

Diagnostic Criteria

clinical:
  • • MRI shows partial-thickness tear
documentation:
  • • Specify laterality and tear type

Applicable To

  • • Partial tear of rotator cuff

Important Notes

  • • Ensure documentation specifies partial vs. complete tear.

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

Billable Code
S46.011A
Billable

Diagnostic Criteria

clinical:
  • • History of trauma
  • • MRI showing acute tear

Applicable To

  • • Acute traumatic tear

Important Notes

  • • Ensure documentation includes the traumatic event.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z96.641

Presence of right artificial shoulder joint

Use when patient has a shoulder prosthesis.

W19.XXXA

Unspecified fall, initial encounter

Use to specify the external cause of injury.

Frequently Asked Questions

What is the ICD-10 code for rotator cuff syndrome?

The ICD-10 code for rotator cuff syndrome varies based on the condition's specifics, such as M75.111 for non-traumatic partial tears and S46.011A for traumatic tears.

How do you code a traumatic rotator cuff tear?

For a traumatic rotator cuff tear, use S46.011A for the right shoulder, ensuring documentation includes the traumatic event.

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