icd10free.comPowered by Curo

ICD-10 Coding for Torn Rotator Cuff(M75.121, M75.1, M75.12)

Save

Learn about ICD-10 coding for torn rotator cuffs, including non-traumatic and traumatic tears, with documentation requirements and coding tips.

Also known as:
Rotator Cuff TearShoulder Tendon Tear
Related ICD-10 Code Ranges

Complete code families applicable to Torn Rotator Cuff

M00-M99Primary Range

Diseases of the musculoskeletal system and connective tissue

→
Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescription
M75.121Complete rotator cuff tear or rupture of right shoulder, not specified as traumatic
S46.011ATraumatic rupture of right rotator cuff
Primary ICD-10-CM Codes
Complete rotator cuff tear or rupture of right shoulder, not specified as traumatic
M75.121Billable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Traumatic rupture of right rotator cuffS46.011A

Use when the tear is due to an acute injury or trauma.

Complete rotator cuff tear or rupture of right shoulder, not specified as traumaticM75.121

Use for degenerative or non-traumatic tears.

Documentation & Coding Risks

Avoid these common issues when documenting Torn Rotator Cuff.

Failing to document the cause of the tear

Impact

Clinical: Misleading clinical picture, Regulatory: Potential for audit issues, Financial: Incorrect reimbursement

Mitigation

Always include etiology in notes, Use templates to ensure completeness

Using unspecified codes when specific codes are available

Impact

Reimbursement: May lead to lower reimbursement rates, Compliance: Increases risk of audit failure, Data Quality: Reduces accuracy of clinical data

Mitigation

Always verify MRI and clinical documentation to use the most specific code.

Laterality errors

Impact

Incorrect coding of shoulder side

Mitigation

Double-check documentation and imaging before coding.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with M75.121.