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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

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Code Details

Code
M75.100
Category
Diseases of the musculoskeletal system and connective tissue
Billable Status
Billable

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