Facebook tracking pixel
M75.92
ICD-10-CM
Left Shoulder Tendinitis

Find information on left shoulder tendinitis diagnosis, including clinical documentation, medical coding (ICD-10 M75.11, M75.12), and healthcare treatment options. Learn about symptoms, causes, and diagnostic tests related to left shoulder tendon inflammation and rotator cuff tendinopathy. Explore resources for accurate medical coding and proper documentation for left shoulder tendinitis in healthcare settings. This information is relevant for physicians, medical coders, and other healthcare professionals.

Also known as

Left Shoulder Tendonitis
Bicipital Tendinitis of Left Shoulder

Diagnosis Snapshot

Key Facts
  • Definition : Inflammation of shoulder tendons, often the rotator cuff.
  • Clinical Signs : Shoulder pain, stiffness, weakness, pain with overhead activities.
  • Common Settings : Overuse injuries, sports injuries, repetitive strain, age-related degeneration.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M75.92 Coding
M75.1-

Rotator cuff syndrome

Includes various shoulder tendon inflammations like tendinitis.

M75.8-

Other specified enthesopathies

Covers other specific tendon attachment disorders, potentially including shoulder tendinitis.

M77.8-

Other soft tissue disorders

A broader category that may be used if a more specific code isn't applicable.

Code-Specific Guidance

Decision Tree for

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

Is the left shoulder tendinitis specified as bicipital?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Left Shoulder Tendinitis
Left Shoulder Bursitis
Left Shoulder Impingement

Documentation Best Practices

Documentation Checklist
  • Left shoulder pain details: location, onset, character
  • Palpation tenderness over specific tendon(s)
  • Limited ROM: abduction, flexion, external/internal rotation
  • Exclude other shoulder diagnoses: rotator cuff tear, arthritis
  • ICD-10 code M75.1: other rotator cuff tendinopathy

Coding and Audit Risks

Common Risks
  • Unspecified Laterality

    Coding left shoulder tendinitis without specifying laterality can lead to claim denials. Use ICD-10 M75.11 for the left side.

  • Imprecise Diagnosis

    Tendinitis vs. other shoulder pain. Clear documentation needed for accurate coding (e.g., bicipital tendinitis, rotator cuff tendinitis).

  • Missing Etiology

    If tendinitis is traumatic, code the underlying cause. Unspecified tendinitis lacks detail for accurate reimbursement and data analysis.

Mitigation Tips

Best Practices
  • ICD-10 M75.1, M75.8, M75.9 accurate coding for shoulder tendinitis
  • Document pain onset, location, type for CDI, optimize reimbursement
  • Assess ROM, strength, palpation findings for compliant documentation
  • Order appropriate imaging (X-ray, MRI) per clinical guidelines, justify medical necessity
  • Prescribe NSAIDs, physical therapy, consider corticosteroid injections, document rationale

Clinical Decision Support

Checklist
  • Confirm left shoulder pain onset, duration, and exacerbating factors.
  • Assess left shoulder ROM and palpate for tenderness at tendons.
  • Evaluate pain with resisted shoulder abduction or external rotation.
  • Rule out cervical radiculopathy, rotator cuff tear, or frozen shoulder.
  • Document ICD-10 M75.1, laterality, and assessment details for billing.

Reimbursement and Quality Metrics

Impact Summary
  • Left Shoulder Tendinitis Reimbursement: ICD-10 M75.1, CPT 20600 (injection), 97140 (PT), Focus on accurate coding for maximized claim acceptance.
  • Coding Accuracy Impact: Proper laterality coding (left vs. right) crucial for accurate reimbursement and avoiding denials.
  • Quality Metrics Impact: Functional outcome reporting (e.g., DASH score) influences quality performance scores and value-based payments.
  • Hospital Reporting Impact: Accurate diagnosis coding impacts hospital quality data reporting and case mix index (CMI).

Streamline Your Medical Coding

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

Quick Tips

Practical Coding Tips
  • Code M75.1 for left shoulder tendinitis
  • Document specific tendon involved
  • Specify laterality: left shoulder
  • Consider activity codes if applicable
  • Check for rotator cuff tear codes

Documentation Templates

Patient presents with complaints of left shoulder pain, consistent with left shoulder tendinitis.  Symptoms include localized tenderness to palpation over the affected tendons, pain exacerbated by movement and activity, particularly abduction and external rotation, and stiffness.  Onset of pain is reported as gradual, with increasing severity over the past [number] weeksmonths.  Patient denies any specific trauma or injury to the shoulder.  Pain is described as [character of pain, e.g., aching, sharp, burning] and rated [pain scale rating] on a 0-10 scale.  Range of motion is limited due to pain, with notable restriction in [specific movement, e.g., forward flexion, internal rotation].  No crepitus or instability noted.  Differential diagnoses include rotator cuff tear, frozen shoulder (adhesive capsulitis), and bursitis.  Assessment suggests left shoulder tendinitis (ICD-10 M75.11) as the primary diagnosis.  Treatment plan includes rest, ice, compression, elevation (RICE), nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen for pain management, and physical therapy referral for range of motion exercises and strengthening.  Patient education provided on activity modification and proper body mechanics.  Follow-up scheduled in [duration] to assess response to treatment and adjust plan as needed.