Complete ICD-10-CM coding and documentation guide for icd-10 coding for supraspinatus tear includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Supraspinatus 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
Pain in right shoulder
Use to document associated shoulder pain.
The ICD-10 code for a non-traumatic complete supraspinatus tear is M75.121, while a traumatic tear is coded as S46.011A.
Document the tear's thickness, location, and whether it is traumatic or atraumatic, supported by imaging findings.