ICD-10 Coding for Rotator Cuff Tear Left Shoulder(M75.1, M75.122, M75.122B)
Learn about ICD-10 coding for rotator cuff tears of the left shoulder, including traumatic and non-traumatic classifications.
Complete code families applicable to Rotator Cuff Tear Left Shoulder
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M75.122 | Complete rotator cuff tear or rupture of left shoulder, not specified as traumatic | Use when documentation specifies a complete, non-traumatic tear of the left shoulder. |
|
| S46.012A | Traumatic rupture of rotator cuff of left shoulder | Use when documentation specifies a traumatic event leading to the tear. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information
Essential facts and insights aboutRotator Cuff Tear Left Shoulder
Alternative codes to consider when ruling out similar conditions
Documentation & Coding Risks
Avoid these common issues when documenting Rotator Cuff Tear Left Shoulder.
Omitting trauma history in documentation.
Impact
Clinical: Inaccurate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation
Thorough patient interviews, Detailed documentation
Using unspecified codes when laterality is documented.
Impact
Reimbursement: May lead to claim denials or reduced payments., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of patient records.
Mitigation
Always specify laterality, such as M75.122 for left shoulder.
Coding traumatic tears as non-traumatic.
Impact
Reimbursement: Incorrect coding can affect DRG assignment., Compliance: Risk of audit findings for incorrect coding., Data Quality: Misrepresents patient condition and treatment needs.
Mitigation
Verify trauma history and document clearly.
Incorrect coding of trauma-related tears
Impact
Misclassification of traumatic tears as non-traumatic.
Mitigation
Ensure thorough documentation of trauma history.
Frequently Asked Questions
Primary Code
Complete rotator cuff tear or rupture of left shoulder, not specified as traumati