Complete rotator cuff tear or rupture not specified as traumatic

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 3 more specific codes instead:

M75.120 Complete rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic
M75.121 Complete rotator cuff tear or rupture of right shoulder, not specified as traumatic
M75.122 Complete rotator cuff tear or rupture of left shoulder, not specified as traumatic

What has happened to this code

Every change the publisher made, from 2007 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

FY2007 Added to the draft code set draft Rotator cuff syndrome, left shoulder
FY2012 Draft description revised draft ~~Rotator cuff syndrome, left shoulder~~ Complete rotator cuff tear or rupture not specified as traumatic

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from M75 Shoulder lesions

Excludes2 - not included here

shoulder-hand syndrome (M89.0-)

How CDC's index refers to this code

Wording from the official alphabetic index. Much of it appears nowhere in the code description, which is why a search for the everyday phrase so often finds nothing.

Syndrome > supraspinatus
Tear, torn > supraspinatus
Rupture, ruptured > supraspinatus
Syndrome > rotator cuff, shoulder
Tear, torn > rotator cuff > complete
Rupture, ruptured > rotator cuff > complete

Codes in the same group

Code	Description	Status
M75.10	Unspecified rotator cuff tear or rupture, not specified as traumatic	Not billable
M75.11	Incomplete rotator cuff tear or rupture not specified as traumatic	Not billable