Find information on Rotator Cuff Tendinitis diagnosis, including ICD-10 codes (M75.1, M75.11, M75.12), clinical documentation requirements, and healthcare coding guidelines. Learn about symptoms, treatment options, and best practices for accurate medical coding and billing related to Rotator Cuff Tendinopathy, Rotator Cuff Tear, Shoulder pain, and Supraspinatus Tendinitis. This resource helps healthcare professionals ensure proper documentation and coding for Rotator Cuff injuries.
Also known as
Rotator cuff syndromes
Includes various rotator cuff disorders like tendinitis and tears.
Shoulder lesions
Encompasses other shoulder problems excluding the acromioclavicular joint.
Diseases of the musculoskeletal system and connective tissue
Broad category covering many musculoskeletal and connective tissue disorders.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the rotator cuff tendinitis specified as calcific?
Yes
Code M75.31 Rotator cuff calcific tendinitis
No
Is laterality specified?
When to use each related code
Description |
---|
Rotator cuff inflammation |
Rotator cuff tear |
Adhesive capsulitis |
Coding unspecified tendinitis (M75.9) when documentation supports a more specific rotator cuff diagnosis (e.g., M75.11, M75.12) leads to undercoding and lost revenue.
Miscoding a partial rotator cuff tear (S46.0) as tendinitis (M75.1X) or vice versa can result in inaccurate severity reflection and claims denials.
Omitting laterality (right, left, bilateral) when coding rotator cuff tendinitis (M75.1X) causes coding errors and impacts reimbursement.
Patient presents with complaints of shoulder pain consistent with rotator cuff tendinitis. The onset of pain was gradual, described as aching and worse with overhead activities and at night. Patient denies any specific injury or trauma. Keywords relevant to this presentation include rotator cuff pain, shoulder impingement syndrome, supraspinatus tendinopathy, infraspinatus tendinopathy, and subscapularis tendinopathy. Physical examination reveals tenderness to palpation over the anterior and lateral aspects of the shoulder, positive Neer and Hawkins impingement signs, and painful arc of motion. Strength testing demonstrates mild weakness in abduction and external rotation. Differential diagnosis includes rotator cuff tear, frozen shoulder (adhesive capsulitis), bicipital tendinitis, and cervical radiculopathy. Diagnostic considerations include shoulder x-ray to rule out bony pathology and assess for degenerative changes. An MRI may be indicated if a rotator cuff tear is suspected. Initial treatment plan includes rest, ice, compression, elevation (RICE), nonsteroidal anti-inflammatory drugs (NSAIDs) for pain management, and physical therapy focusing on range of motion and rotator cuff strengthening exercises. Patient education provided regarding activity modification and proper body mechanics. Follow-up scheduled in two weeks to assess response to treatment. ICD-10 code M75.11 (Rotator cuff tendinopathy or tendinitis, right shoulder) or M75.12 (Rotator cuff tendinopathy or tendinitis, left shoulder) is appropriate based on the affected side. CPT codes for evaluation and management (E/M), physical therapy, and potential injections or imaging will be determined based on services rendered.