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

ICD-10 Coding for Torn Rotator Cuff

M75.121
S46.011A

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

Also Known as:
Rotator Cuff Tear
Shoulder Tendon Tear
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Key Information: ICD-10 Coding for Torn Rotator Cuff

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

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.

Primary ICD-10-CM Codes

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

Billable Code
M75.121
Billable

Diagnostic Criteria

clinical:
  • • MRI confirms full-thickness tear without trauma
documentation:
  • • Documentation specifies non-traumatic etiology

Applicable To

  • • Complete tear of supraspinatus tendon

Important Notes

  • • Ensure documentation specifies the non-traumatic nature and laterality of the tear.

Traumatic rupture of right rotator cuff

Billable Code
S46.011A
Billable

Diagnostic Criteria

clinical:
  • • History of recent trauma or injury
  • • Clinical notes indicating acute onset

Applicable To

  • • Acute tear due to trauma

Important Notes

  • • Ensure trauma is clearly documented in the patient's history.
Ancillary Codes

Additional codes that may be used with this diagnosis

M75.51

Bursitis of shoulder

Use when bursitis is present alongside the rotator cuff tear.

Frequently Asked Questions

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

The ICD-10 code for a non-traumatic torn rotator cuff of the right shoulder is M75.121. For traumatic tears, use S46.011A.

How do you code a traumatic rotator cuff tear?

For a traumatic rotator cuff tear, use ICD-10 code S46.011A if the tear is in the right shoulder and is due to an acute injury.

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