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M75.91
ICD-10-CM
Tendinitis Right Shoulder

Find information on right shoulder tendinitis diagnosis, including clinical documentation, ICD-10 codes (M75.11, M75.12), medical coding, and healthcare resources. Learn about rotator cuff tendinopathy, supraspinatus tendinitis, infraspinatus tendinitis, subscapularis tendinitis, and biceps tendinitis related to the right shoulder. Explore effective treatment options and management strategies for right shoulder tendinitis pain and inflammation.

Also known as

Shoulder Tendonitis
Rotator Cuff Tendinitis
Bicipital Tendinitis

Diagnosis Snapshot

Key Facts
  • Definition : Inflammation of a shoulder tendon, often the rotator cuff.
  • Clinical Signs : Shoulder pain, stiffness, weakness, pain with movement, tenderness.
  • Common Settings : Overuse injuries, sports, repetitive motions, occupational hazards.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M75.91 Coding
M75-M79

Other soft tissue disorders

Includes various soft tissue disorders like tendinitis.

M77

Other enthesopathies

Covers enthesopathies not elsewhere classified, potentially including shoulder tendinitis.

M75

Shoulder lesions

Specifically addresses lesions of the shoulder region, sometimes related to tendinitis.

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?

  • Yes

    Code M75.311 Calcific tendinitis of right shoulder

  • No

    Is there a specific affected tendon?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Right shoulder tendinitis
Rotator cuff tear, right
Right shoulder impingement

Documentation Best Practices

Documentation Checklist
  • Right shoulder pain onset, duration, character
  • Physical exam: localized tenderness, ROM limitations
  • Palpation: pinpoint pain, crepitus at affected tendon
  • Exclusions: arthritis, fracture, rotator cuff tear
  • ICD-10 M75.11, laterality, supporting documentation

Coding and Audit Risks

Common Risks
  • Laterality Mismatch

    Coding error where documentation specifies right shoulder, but code reflects left or unspecified side. Impacts reimbursement and data accuracy.

  • Specificity Lacking

    Using unspecified tendinitis code when documentation supports a more specific diagnosis (e.g., bicipital, supraspinatus). Loss of data granularity.

  • Trauma vs. Overuse

    Incorrectly coding traumatic tendinitis as overuse or vice-versa. Impacts accurate reporting of injury mechanism and clinical care.

Mitigation Tips

Best Practices
  • Rest, ice, compression, elevation (RICE) for acute pain. ICD-10: M75.11
  • Physical therapy for strengthening, flexibility. CPT codes: 97110, 97112
  • NSAID use as directed by physician. Document medication reconciliation.
  • Corticosteroid injections for pain relief. Proper coding: ICD-10 M75.11, CPT 20610
  • Ergonomic assessment to prevent recurrence. CDI: Document workplace factors.

Clinical Decision Support

Checklist
  • Confirm pain/tenderness localized to right shoulder tendons
  • Assess ROM limitation/pain with right shoulder movement
  • Rule out alternative diagnoses (e.g., arthritis, rotator cuff tear)
  • Document symptom duration, severity, and impact on function
  • Consider imaging (e.g., ultrasound) if diagnosis unclear

Reimbursement and Quality Metrics

Impact Summary
  • Tendinitis Right Shoulder reimbursement impacts coding for MRI, ultrasound, injections impacting revenue cycle management.
  • Coding accuracy crucial for appropriate reimbursement. ICD-10 M75.11, M75.12 specificity impacts denials.
  • Quality metrics: Patient reported outcome measures (PROMs) for pain, function influence value-based care reimbursement.
  • Hospital reporting: Accurate diagnosis coding impacts case mix index (CMI) affecting resource allocation.

Streamline Your Medical Coding

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

Quick Tips

Practical Coding Tips
  • Code M75.11 Right shoulder tendinitis
  • Specify laterality, acuity, and cause
  • Document exam findings, pain level
  • Consider imaging if indicated
  • Check Excludes1 notes in ICD-10

Documentation Templates

Patient presents with right shoulder pain consistent with tendinitis.  Onset of pain was gradual, described as aching and worse with overhead activities and abduction.  Patient denies any specific trauma or injury.  Pain is localized to the right shoulder, radiating occasionally to the lateral upper arm.  Patient reports stiffness and decreased range of motion.  Physical examination reveals tenderness to palpation over the right rotator cuff tendons, specifically the supraspinatus tendon insertion.  Positive Neer and Hawkins-Kennedy impingement tests.  Strength testing reveals mild weakness with abduction and external rotation.  No crepitus or instability noted.  Differential diagnoses include rotator cuff tear, impingement syndrome, bursitis, and frozen shoulder.  Assessment: Right shoulder tendinitis (ICD-10 M75.11).  Plan: Conservative management with NSAIDs (ibuprofen 800mg TID) for pain and inflammation.  Patient education provided regarding activity modification, avoiding aggravating activities, and ice application.  Referral to physical therapy for range of motion exercises, strengthening, and modalities.  Follow-up scheduled in 4 weeks to assess response to treatment.  If symptoms persist or worsen, consider MRI to rule out rotator cuff tear.  Patient instructed to return to clinic sooner if pain intensifies or new symptoms develop.