ICD Code M75.102

ICD code M75.102 is used to identify an unspecified rotator cuff tear or rupture in the left shoulder, where the cause of the tear or rupture is not specified as being due to trauma. This code is part of the International Classification of Diseases, 10th Revision (ICD-10), which is used by healthcare providers to document diagnoses and conditions for billing and statistical purposes. The code helps in categorizing the condition for treatment planning and insurance claims processing.

When using the ICD code for an unspecified rotator cuff tear or rupture of the left shoulder, not specified as traumatic, healthcare providers should consider the following diagnostic criteria and symptoms:

1. Pain in the Shoulder: Persistent or intermittent pain localized to the left shoulder, which may worsen with movement or at night.

2. Weakness: Notable weakness in the left shoulder, particularly when lifting the arm or performing overhead activities.

3. Limited Range of Motion: Reduced ability to move the left shoulder, especially in abduction and external rotation.

4. Swelling or Tenderness: Presence of swelling or tenderness around the shoulder joint, which may be detected through palpation.

5. Crepitus: A grating sensation or sound in the shoulder joint during movement.

6. Positive Impingement Signs: Clinical tests such as Neer’s or Hawkins-Kennedy that indicate impingement in the shoulder.

7. Imaging Findings: Evidence from imaging studies, such as MRI or ultrasound, showing a tear or rupture in the rotator cuff without clear signs of trauma.

8. Absence of Traumatic Event: Lack of a specific traumatic incident leading to the onset of symptoms, distinguishing it from traumatic tears.

9. Chronicity: Symptoms that have persisted over a period of time, suggesting a degenerative or non-traumatic origin.

10. Functional Impairment: Difficulty performing daily activities that require shoulder movement, such as dressing or reaching overhead.

By adhering to these criteria, healthcare providers can accurately document and code the condition, ensuring appropriate treatment and reimbursement processes.

For the ICD code M75.102, which pertains to an unspecified rotator cuff tear or rupture of the left shoulder, not specified as traumatic, the relevant CPT codes that may be applicable include:

1. 29827 - Arthroscopy, shoulder, surgical; with rotator cuff repair.
2. 23412 - Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; chronic.
3. 23410 - Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; acute.
4. 29826 - Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with or without coracoacromial release.
5. 29824 - Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure).

These CPT codes are commonly used for procedures related to the treatment of rotator cuff tears or ruptures. It is important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the clinical scenario.

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