What is the ICD-10 code for bicep tendinopathy?

The ICD-10 code for bicep tendinopathy is M75.21 for the right shoulder and M75.22 for the left shoulder, specifying the involvement of the biceps tendon.

How do you code bicep tendinopathy with a rotator cuff tear?

Code the rotator cuff tear as primary (M75.12-) and bicep tendinopathy as secondary (M75.21 or M75.22) based on laterality.

ICD-10 Coding for Bicep Tendinopathy(M75.21, M65.2, M65.221)

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Learn about ICD-10 coding for bicep tendinopathy, including primary codes M75.21 and M75.22, documentation requirements, and common coding pitfalls.

Also known as:

Bicipital TendinitisLong Head of Biceps Tendinitis

Related ICD-10 Code Ranges

Complete code families applicable to Bicep Tendinopathy

M00-M99Primary Range

Diseases of the musculoskeletal system and connective tissue

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
M75.21	Bicipital tendinitis, right shoulder	Use when documentation specifies biceps tendon involvement in the right shoulder.	Pain localized to bicipital groove Positive Speed’s and Yergason’s tests Ultrasound showing tendon sheath fluid ≥3mm
M75.22	Bicipital tendinitis, left shoulder	Use when documentation specifies biceps tendon involvement in the left shoulder.	Pain localized to bicipital groove Positive Speed’s and Yergason’s tests Ultrasound showing tendon sheath fluid ≥3mm

Primary ICD-10-CM Codes

Bicipital tendinitis, right shoulder

M75.21Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Synovitis and tenosynovitis, right shoulderM65.221

Use when tendon involvement is unspecified or not specific to the biceps.

Synovitis and tenosynovitis, left shoulderM65.222

Use when tendon involvement is unspecified or not specific to the biceps.

Documentation & Coding Risks

Avoid these common issues when documenting Bicep Tendinopathy.

Failure to document laterality

Impact

Clinical: May lead to inappropriate treatment side., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or reduced reimbursement.

Mitigation

Always include laterality in documentation., Use templates that prompt for laterality.

Using M65.221 for biceps-specific tendinitis

Impact

Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Inaccurate clinical data affecting patient records.

Mitigation

Use M75.21 or M75.22 when biceps involvement is documented.

Laterality Documentation

Impact

High risk of audit if laterality is not documented for shoulder conditions.

Mitigation

Implement mandatory laterality fields in EHR templates.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with M75.21.

Primary Code

M75.21

Bicipital tendinitis, right shoulder

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ICD-10 codes8

Coding risks3

FAQs2

ICD-10 Coding for Bicep Tendinopathy(M75.21, M65.2, M65.221)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for bicep tendinopathy?

How do you code bicep tendinopathy with a rotator cuff tear?

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