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
Rotator cuff syndrome
Shoulder pain due to inflamed or torn rotator cuff tendons.
Other specified shoulder lesions
Includes other specific shoulder problems not classified elsewhere.
Unspecified shoulder lesion
Used when a more specific shoulder diagnosis is not available.
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
When to use each related code
Description |
---|
Rotator cuff tendinitis |
Rotator cuff tear |
Subacromial impingement |
Coding M75.1 without laterality or specifying supraspinatus, infraspinatus, subscapularis, or teres minor tendons risks downcoding.
Confusing impingement (M75.4) with tendinitis (M75.1) leads to inaccurate coding and potential claim denials. CDI crucial.
Miscoding partial tear (M75.1) as full tear (S46) impacts reimbursement and compliance. Thorough documentation required.
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.