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Home/Diagnosis/ICD-10 Coding for Shoulder Arthroscopy

ICD-10 Coding for Shoulder Arthroscopy

M75.121
S43.431A

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

Also Known as:
Arthroscopic Shoulder Surgery
Shoulder Scope
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Key Information: ICD-10 Coding for Shoulder Arthroscopy

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

Use ICD-10 code M75.121 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
M75.121
Billable

Diagnostic Criteria

  • • MRI confirmation of partial tear

Applicable To

  • • Partial-thickness tear of right rotator cuff

Important Notes

  • • Ensure laterality is documented clearly.

Anterior dislocation of right shoulder joint, initial encounter

Billable Code
S43.431A
Billable

Diagnostic Criteria

  • • Positive apprehension test
  • • Imaging confirming dislocation

Applicable To

  • • Acute anterior dislocation

Important Notes

  • • Ensure encounter type is documented (initial, subsequent, sequela).
Ancillary Codes

Additional codes that may be used with this diagnosis

Z96.611

Presence of right artificial shoulder joint

Use to indicate the presence of a shoulder implant.

Frequently Asked Questions

What is the ICD-10 code for left shoulder arthroscopy?

The ICD-10 code for left shoulder arthroscopy depends on the specific condition treated, such as M75.112 for a partial rotator cuff tear.

How do you code shoulder arthroscopy with rotator cuff repair?

Use CPT code 29827 for arthroscopic rotator cuff repair, ensuring documentation supports a full-thickness tear and failed conservative treatment.

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