M75.100
Unspecified rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic
Diseases of the musculoskeletal system and connective tissue Billable
Quick Reference
Rotator cuff tear documented on MRI without specification of traumatic vs degenerative
Clinical Information
When to Use This Code
Rotator cuff tear documented on MRI without specification of traumatic vs degenerative
Common Clinical Scenarios
- Chronic shoulder pain with MRI-confirmed tear
- Rotator cuff repair surgery planning
- Physical therapy for rotator cuff
- Cortisone injection for shoulder pain
Documentation Requirements
- Document MRI findings specifying tear size and location
- Note if full-thickness vs partial-thickness tear
- Record shoulder strength and range of motion
- Specify if traumatic onset or degenerative
Coding Guidelines
Inclusion Terms
These terms are included in this code:
Rotator cuff tearRotator cuff ruptureSupraspinatus tear
Exclusion Terms
Do NOT use this code for:
- Traumatic rotator cuff tear (S46.01-)
- Shoulder impingement without tear (M75.4-)
Coding Notes
Specify laterality (right M75.101, left M75.102)
Use traumatic injury codes for acute tears
Document tear size for surgical planning
Related ICD-10 Codes
Consider these related codes based on patient presentation:
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Code
M75.100
Category
Diseases of the musculoskeletal system and connective tissue
Billable Status
Billable
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