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M75.191
ICD-10-CM
Right Rotator Cuff Tendinitis

Find information on Right Rotator Cuff Tendinitis including clinical documentation, ICD-10 codes (M75.111, M75.112), medical coding, symptoms, diagnosis, and treatment. Learn about rotator cuff tear vs. tendinitis, supraspinatus tendinopathy, and infraspinatus tendinopathy. This resource provides relevant information for healthcare professionals, coders, and patients seeking to understand Right Rotator Cuff Tendinitis.

Also known as

Right Shoulder Tendinitis
Right Rotator Cuff Inflammation

Diagnosis Snapshot

Key Facts
  • Definition : Inflammation of shoulder tendons causing pain and limited movement.
  • Clinical Signs : Shoulder pain, weakness, stiffness, pain with overhead activities, clicking or popping sensation.
  • Common Settings : Sports injuries, repetitive overhead work, aging, trauma, poor posture.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M75.191 Coding
M75.1-

Rotator cuff syndrome

Shoulder pain due to inflamed or torn rotator cuff tendons.

M75.8-

Other specified shoulder lesions

Includes other specific shoulder problems not classified elsewhere.

M75.9-

Unspecified shoulder lesion

Used when a more specific shoulder diagnosis is not available.

Code-Specific Guidance

Decision Tree for

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

Is the right rotator cuff tendinitis specified as acute or chronic?

  • Acute

    Traumatic?

  • Chronic

    Code M75.111: Right rotator cuff tendinitis

  • Not specified

    Code M75.111: Right rotator cuff tendinitis

Code Comparison

Related Codes Comparison

When to use each related code

Description
Rotator cuff tendinitis
Rotator cuff tear
Subacromial impingement

Documentation Best Practices

Documentation Checklist
  • Document laterality (right shoulder)
  • Confirm tendinitis, not tear
  • Specify affected tendon(s) if known
  • Record pain level and location
  • Note functional limitations/ROM

Coding and Audit Risks

Common Risks
  • Unspecified Tendinitis

    Coding M75.1 without laterality or specifying supraspinatus, infraspinatus, subscapularis, or teres minor tendons risks downcoding.

  • Impingement vs. Tendinitis

    Confusing impingement (M75.4) with tendinitis (M75.1) leads to inaccurate coding and potential claim denials. CDI crucial.

  • Partial vs. Full Tear

    Miscoding partial tear (M75.1) as full tear (S46) impacts reimbursement and compliance. Thorough documentation required.

Mitigation Tips

Best Practices
  • ICD-10 M75.1-: Accurate rotator cuff coding
  • Document pain onset, location, type for CDI
  • Assess ROM, strength, prior injuries for M75.1+
  • Order appropriate imaging (MRI/ultrasound)
  • Conservative Rx 1st: NSAIDs, PT, rest, ice

Clinical Decision Support

Checklist
  • Verify pain localized to lateral deltoid, worse with abduction ICD-10 M75.1
  • Assess for pain with resisted external rotation SNOMED CT 75400009
  • Palpate for tenderness over greater tuberosity ICD-10 M75.11
  • Evaluate range of motion limitations in shoulder CPT 99204

Reimbursement and Quality Metrics

Impact Summary
  • Right Rotator Cuff Tendinitis Reimbursement: Focus on accurate ICD-10 M75.1- and CPT 20610 coding for optimal payment. Monitor payer-specific guidelines for injections, ultrasounds, and MRIs.
  • Coding Accuracy Impact: Miscoding rotator cuff tendinitis (M75.1-) can lead to denials, impacting revenue cycle. Proper CPT selection crucial for procedures.
  • Hospital Reporting Impact: Accurate rotator cuff tendinitis diagnosis data affects quality reporting, resource allocation, and population health management.
  • Quality Metrics Impact: Patient outcomes data tied to rotator cuff tendinitis diagnosis influences quality metrics and value-based reimbursement.

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 M75.11 for right rotator cuff tendinitis
  • Document pain, weakness, limited ROM
  • Specify laterality (right) in diagnosis
  • Consider imaging findings for code selection
  • Exclude tears, ruptures (different codes)

Documentation Templates

Patient presents with complaints of right shoulder pain consistent with right rotator cuff tendinitis.  Onset of pain was gradual, reported as approximately three weeks ago, and exacerbated by overhead activities and lifting.  Patient denies any specific injury or trauma.  Pain is described as a dull ache, localized to the lateral aspect of the right shoulder, radiating down the arm to the elbow.  Pain is rated 4 out of 10 at rest and 7 out of 10 with movement.  Physical examination reveals tenderness to palpation over the right rotator cuff insertion, specifically the supraspinatus and infraspinatus tendons.  Positive findings include pain with active range of motion, particularly abduction and external rotation, and positive Neer and Hawkins impingement tests.  Strength testing demonstrates mild weakness in abduction and external rotation compared to the left side.  No crepitus or instability noted.  Differential diagnosis includes rotator cuff tear, impingement syndrome, frozen shoulder, and cervical radiculopathy.  Assessment: Right rotator cuff tendinitis.  Plan: Conservative management is recommended, including rest, ice, and over-the-counter NSAIDs such as ibuprofen.  Patient education provided regarding activity modification and proper body mechanics.  Referral to physical therapy for range of motion exercises, strengthening, and modalities.  Follow-up scheduled in four weeks to assess response to treatment.  If symptoms do not improve, consider further imaging such as MRI and possible corticosteroid injection.  ICD-10 code M75.11, right rotator cuff tendinopathy or tendinitis, is documented for medical billing and coding purposes.
Right Rotator Cuff Tendinitis - AI-Powered ICD-10 Documentation