ICD-10-CM Code M75.101

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

Version 2020 Billable Code Orthopedics

Valid for Submission

M75.101 is a billable code used to specify a medical diagnosis of unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code M75.101 might also be used to specify conditions or terms like bilateral nontraumatic rotator cuff rupture, bilateral rotator cuff syndrome, left rotator cuff syndrome, nontraumatic rupture of rotator cuff of left shoulder, nontraumatic rupture of rotator cuff of right shoulder, nontraumatic rupture of rotator cuff of right shoulder, etc

The code is commonly used in orthopedics medical specialties to specify clinical concepts such as selected shoulder conditions.

ICD-10:M75.101
Short Description:Unsp rotatr-cuff tear/ruptr of right shoulder, not trauma
Long Description:Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Bilateral nontraumatic rotator cuff rupture
  • Bilateral rotator cuff syndrome
  • Left rotator cuff syndrome
  • Nontraumatic rupture of rotator cuff of left shoulder
  • Nontraumatic rupture of rotator cuff of right shoulder
  • Nontraumatic rupture of rotator cuff of right shoulder
  • Right rotator cuff syndrome
  • Right rotator cuff syndrome
  • Rotator cuff syndrome
  • Rotator cuff syndrome
  • Tear of right rotator cuff

Diagnostic Related Groups

The ICD-10 code M75.101 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 557 - TENDONITIS, MYOSITIS AND BURSITIS WITH MCC
  • 558 - TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC

Convert M75.101 to ICD-9

  • 726.10 - Rotator cuff synd NOS (Approximate Flag)

Code Classification

  • Diseases of the musculoskeletal system and connective tissue (M00–M99)
    • Other soft tissue disorders (M70-M79)
      • Shoulder lesions (M75)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Rotator Cuff Injuries

Your rotator cuff is located in your shoulder area. It is made of muscles and tendons. It helps your shoulder to move and stay stable. Problems with the rotator cuff are common. They include tendinitis, bursitis, and injuries such as tears.

Rotator cuff tendons can become inflamed from frequent use or aging. Sometimes they are injured from a fall on an outstretched hand. Sports or jobs with repeated overhead motion can also damage the rotator cuff. Aging causes tendons to wear down, which can lead to a tear.

Some tears are not painful, but others can be very painful. Treatment for a torn rotator cuff depends on age, health, how severe the injury is, and how long you've had the torn rotator cuff.

Treatment for torn rotator cuff includes:

  • Rest
  • Heat or cold to the sore area
  • Medicines that reduce pain and swelling
  • Electrical stimulation of muscles and nerves
  • Ultrasound
  • Cortisone injection
  • Surgery

NIH: National Institute of Arthritis and Musculoskeletal and Skin Disease


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