Facebook tracking pixel
M75.20
ICD-10-CM
Bicep Tendonitis

Learn about bicep tendonitis (bicipital tendinitis, long head biceps tendinopathy) diagnosis, including clinical documentation and medical coding for healthcare professionals. Find information on symptoms, treatment, and ICD-10 codes related to bicep tendonitis for accurate and efficient medical record keeping. This resource provides guidance on documenting bicep tendonitis in patient charts and ensuring proper coding for billing and insurance purposes.

Also known as

Bicipital Tendinitis
Long Head Biceps Tendinopathy

Diagnosis Snapshot

Key Facts
  • Definition : Inflammation or irritation of the biceps tendon, often in the shoulder.
  • Clinical Signs : Shoulder pain, especially at the front, worsened by overhead activity or lifting.
  • Common Settings : Weightlifting, repetitive overhead sports, or jobs requiring overhead reaching.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M75.20 Coding
M75-M79

Other soft tissue disorders

Covers various soft tissue disorders, including tendonitis.

M65-M67

Disorders of synovium and tendon

Includes disorders affecting tendons, such as bicep tendinopathy.

M70-M79

Soft tissue disorders

Encompasses a range of soft tissue problems, including tendon inflammation.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the bicep tendonitis specified as the long head?

  • Yes

    Is there a rupture of the long head?

  • No

    Is there a rupture of the biceps tendon (unspecified)?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Bicep tendon inflammation or irritation.
Shoulder impingement from rotator cuff tendons rubbing.
Rotator cuff tear, partial or full thickness.

Documentation Best Practices

Documentation Checklist
  • Document bicep pain location and character.
  • Record palpation findings, tenderness over bicep tendon.
  • Assess range of motion, noting pain with shoulder flexion.
  • Include Yergason's and Speed's test results.
  • Specify laterality (right, left, bilateral bicep tendonitis).

Coding and Audit Risks

Common Risks
  • Laterality Coding

    Missing or incorrect laterality (right, left, bilateral) for bicep tendonitis can lead to claim denials or inaccurate reimbursement.

  • Specificity Issues

    Coding bicep tendonitis requires specifying the location (long head, distal) and acuteness/chronicity for accurate payment.

  • Unclear Documentation

    Vague documentation lacking details about the bicep tendonitis diagnosis can cause coding errors and compliance issues.

Mitigation Tips

Best Practices
  • Rest: Avoid aggravating activities.
  • Ice: Apply 15-20 minutes several times daily.
  • NSAIDS: Consult doctor about over-the-counter pain relief.
  • Physical therapy: Gentle range of motion and strengthening.
  • Corticosteroid injections: Consult doctor for pain management.

Clinical Decision Support

Checklist
  • Confirm anterior shoulder pain localized to bicipital groove
  • Palpate for tenderness over the long head biceps tendon
  • Assess pain with resisted elbow flexion and supination
  • Evaluate for positive Speeds and Yergasons tests

Reimbursement and Quality Metrics

Impact Summary
  • ICD-10 code M77.1 accuracy impacts bicep tendonitis reimbursement.
  • Coding quality affects hospital reporting on bicipital tendinitis cases.
  • Accurate CPT coding for long head biceps tendinopathy maximizes payment.
  • Proper documentation improves medical billing for M77.1 diagnosis.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Frequently Asked Questions

Common Questions and Answers

Q: What are the most effective conservative management strategies for proximal biceps tendonitis in athletes?

A: Conservative management of proximal biceps tendonitis in athletes often involves a multi-faceted approach focusing on pain relief, inflammation reduction, and restoration of function. Initial management typically includes rest, ice, and nonsteroidal anti-inflammatory drugs (NSAIDs). Physical therapy plays a crucial role, emphasizing range of motion exercises, progressive strengthening of the shoulder and biceps muscles, and scapular stabilization drills. Corticosteroid injections can be considered for short-term pain relief in cases where conservative measures fail to provide adequate symptom control. Explore how eccentric exercises can be incorporated into a rehabilitation program for long-head biceps tendinopathy. Importantly, activity modification, including avoiding aggravating activities and addressing any underlying biomechanical issues, is essential for long-term success. Consider implementing evidence-based protocols for return to sport after proximal biceps tendonitis to minimize the risk of recurrence.

Q: How do I differentiate between biceps tendonitis, SLAP tear, and rotator cuff impingement in a patient presenting with anterior shoulder pain?

A: Differentiating between biceps tendonitis, SLAP tear, and rotator cuff impingement can be challenging as these conditions often present with overlapping symptoms, including anterior shoulder pain. A thorough clinical examination, incorporating specific provocative tests such as Speed's test and Yergason's test for biceps tendonitis, O'Brien's test for SLAP lesions, and Neer's and Hawkins-Kennedy tests for impingement, is crucial. Pain location can offer clues, with biceps tendonitis pain often localized to the bicipital groove, whereas SLAP tears may present with a deep clicking or catching sensation. Imaging studies, including MRI or ultrasound, can help confirm the diagnosis and assess the extent of the injury. Learn more about the specific imaging findings associated with each condition to aid in accurate diagnosis. Furthermore, considering the patient's age, activity level, and mechanism of injury can contribute to a more accurate differential diagnosis.

Quick Tips

Practical Coding Tips
  • Code M77.11 for bicep tendonitis
  • Document pain location, severity
  • Specify laterality: right or left
  • Consider associated impingement codes
  • Ruling out rotator cuff tear vital

Documentation Templates

Patient presents with complaints consistent with bicep tendonitis, also known as bicipital tendinitis or long head biceps tendinopathy.  Onset of anterior shoulder pain is reported as [onset - gradual/acute], localized to the bicipital groove and potentially radiating down the anterior arm.  Pain is aggravated by overhead activities, lifting, and palpation of the bicipital tendon.  [Describe the character of pain:  e.g., sharp, dull, aching, throbbing].  Patient denies any history of trauma or dislocation.  Physical examination reveals [positive/negative] Yergason's test and [positive/negative] Speed's test.  Range of motion is [limited/within normal limits] with [specify limitations if applicable].  Strength is [reduced/normal] in [specify muscle groups if applicable].  Differential diagnosis includes rotator cuff tear, impingement syndrome, and cervical radiculopathy.  Assessment: Bicep tendonitis, right/left shoulder.  Plan: Conservative management with rest, ice, and NSAIDs.  Referral to physical therapy for range of motion exercises and strengthening program.  Patient education provided on activity modification and proper body mechanics.  Follow-up scheduled in [timeframe] to assess response to treatment.  ICD-10 code: M75.1.
Bicep Tendonitis - AI-Powered ICD-10 Documentation