Facebook tracking pixel
M75.91
ICD-10-CM
Right Shoulder Tendinitis

Find information on right shoulder tendinitis diagnosis, including clinical documentation, ICD-10 codes (M75.11, M75.12), medical coding, and healthcare best practices. Learn about symptoms, treatment, and rotator cuff related tendinopathy impacting the right shoulder. Explore resources for accurate medical coding and documentation of right shoulder tendinitis for optimal reimbursement and patient care. This resource provides valuable information for physicians, coders, and other healthcare professionals dealing with right shoulder tendinitis.

Also known as

Right Shoulder Tendonitis
Right Shoulder Tendon Inflammation

Diagnosis Snapshot

Key Facts
  • Definition : Inflammation of shoulder tendons, often the rotator cuff.
  • Clinical Signs : Shoulder pain, stiffness, weakness, pain with overhead activity.
  • Common Settings : Overuse in sports, occupational hazards, repetitive motions.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M75.91 Coding
M75.1-

Rotator cuff syndrome

Includes various shoulder tendinitis types like rotator cuff tendinopathy.

M75.8-

Other specified enthesopathies

May include less common shoulder tendinitis if not in M75.1.

M77.1-

Other bursopathies

Relevant if the tendinitis involves bursitis in the shoulder.

M65.-

Synovitis and tenosynovitis

May be used if the tendinitis involves tenosynovitis of the shoulder.

Code-Specific Guidance

Decision Tree for

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

Is the right shoulder tendinitis calcific?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Right Shoulder Tendinitis
Right Shoulder Impingement
Right Shoulder Bursitis

Documentation Best Practices

Documentation Checklist
  • Right shoulder pain onset, duration, character
  • Physical exam: tenderness, ROM limitations, palpation findings
  • Aggravating/relieving factors impacting right shoulder
  • Prior treatments, medications for right shoulder tendinitis
  • ICD-10 M75.11, confirm laterality documentation

Coding and Audit Risks

Common Risks
  • Unspecified Tendinitis

    Coding right shoulder tendinitis with unspecified laterality (M75.8X) instead of specific laterality (M75.11) can lead to claim denials and inaccurate data.

  • Rotator Cuff vs. Tendinitis

    Miscoding rotator cuff tear or impingement (M75.1XX) as unspecified shoulder tendinitis (M75.8X) or vice versa impacts reimbursement and quality metrics.

  • Lacking Supporting Documentation

    Insufficient documentation to support the diagnosis of right shoulder tendinitis (M75.11) may cause audit failures and compliance issues. Clinical indicators, exam findings, and treatment plans are crucial.

Mitigation Tips

Best Practices
  • ICD-10 M75.1*: Precise coding for accurate reimbursement.
  • Document pain onset, location, type for optimal CDI.
  • Assess ROM, strength; link to functional limitations (A,D,L).
  • Rule out rotator cuff tears, other shoulder pathologies.
  • Conservative Rx 1st: NSAIDs, PT, activity modification. HCC compliance.

Clinical Decision Support

Checklist
  • Verify patient reports shoulder pain during activity
  • Confirm pain location over lateral deltoid region
  • Palpate for tenderness at greater tuberosity
  • Assess ROM for pain with abduction external rotation
  • Rule out cervical radiculopathy or rotator cuff tear

Reimbursement and Quality Metrics

Impact Summary
  • Right Shoulder Tendinitis Reimbursement: ICD-10 M75.1, CPT 20610 (injection), physical therapy codes vary. Accurate coding maximizes payment.
  • Coding accuracy impacts quality metrics: Avoid denials, improve clean claim rate, enhance hospital revenue cycle management.
  • Shoulder tendinitis reporting affects quality scores: Track patient outcomes, functional improvement, pain reduction for value-based care.
  • Proper documentation crucial: Supports medical necessity, justifies treatment, ensures accurate reimbursement, positive quality reporting.

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 shoulder
  • Specify laterality: RIGHT
  • Document pain, weakness, limited ROM
  • Consider imaging findings
  • Exclude rotator cuff tears

Documentation Templates

Patient presents with complaints of right shoulder pain, consistent with right shoulder tendinitis.  Onset of pain was gradual, reported as two weeks ago, and exacerbated by overhead activities and lifting.  Patient denies any specific injury or trauma.  Pain is localized to the lateral aspect of the right shoulder, radiating occasionally to the upper arm.  Patient reports stiffness and decreased range of motion in the affected shoulder.  Physical examination reveals tenderness to palpation over the right rotator cuff insertion, specifically the supraspinatus tendon.  Positive findings include pain with resisted abduction and external rotation.  Negative for impingement signs.  Differential diagnoses considered include rotator cuff tear, frozen shoulder, and calcific tendinitis.  Assessment: Right shoulder tendinitis (ICD-10 M75.11).  Plan: Conservative management including rest, ice, compression, elevation (RICE), over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen for pain management.  Patient education provided regarding activity modification and proper body mechanics.  Referral to physical therapy for range of motion exercises and strengthening program.  Follow-up appointment scheduled in two weeks to assess response to treatment.  If symptoms persist or worsen, further investigation with imaging such as ultrasound or MRI may be considered.
Right Shoulder Tendinitis - AI-Powered ICD-10 Documentation