2020 ICD-10-CM Diagnosis Code M75.1

Rotator cuff tear or rupture, not specified as traumatic

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • M75.1 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM M75.1 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of M75.1 - other international versions of ICD-10 M75.1 may differ.
Applicable To
  • Rotator cuff syndrome
  • Supraspinatus tear or rupture, not specified as traumatic
  • Supraspinatus syndrome
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as M75.1. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • tear of rotator cuff, traumatic (
    ICD-10-CM Diagnosis Code S46.01

    Strain of muscle(s) and tendon(s) of the rotator cuff of shoulder

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    S46.01-
    )
The following code(s) above M75.1 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to M75.1:
  • M00-M99
    2020 ICD-10-CM Range M00-M99

    Diseases of the musculoskeletal system and connective tissue

    Note
    • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition
    Type 2 Excludes
    • arthropathic psoriasis (L40.5-)
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • compartment syndrome (traumatic) (T79.A-)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the musculoskeletal system and connective tissue
  • M75
    ICD-10-CM Diagnosis Code M75

    Shoulder lesions

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 2 Excludes
    • shoulder-hand syndrome (M89.0-)
    Shoulder lesions
Approximate Synonyms
  • Supraspinatus syndrome
  • Supraspinatus syndrome (shoulder condition)
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to M75.1:
  • Type 1 Excludes: S43.42
    ICD-10-CM Diagnosis Code S43.42

    Sprain of rotator cuff capsule

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • rotator cuff syndrome (complete) (incomplete), not specified as traumatic (M75.1-)
    Type 2 Excludes
    • injury of tendon of rotator cuff (S46.0-)
  • Type 2 Excludes: M66
    ICD-10-CM Diagnosis Code M66

    Spontaneous rupture of synovium and tendon

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Includes
    • rupture that occurs when a normal force is applied to tissues that are inferred to have less than normal strength
    Type 2 Excludes
    • rotator cuff syndrome (M75.1-)
    • rupture where an abnormal force is applied to normal tissue - see injury of tendon by body region
ICD-10-CM Codes Adjacent To M75.1
M72.2 Plantar fascial fibromatosis
M72.4 Pseudosarcomatous fibromatosis
M72.6 Necrotizing fasciitis
M72.8 Other fibroblastic disorders
M72.9 Fibroblastic disorder, unspecified
M75 Shoulder lesions
M75.0 Adhesive capsulitis of shoulder
M75.00 Adhesive capsulitis of unspecified shoulder
M75.01 Adhesive capsulitis of right shoulder
M75.02 Adhesive capsulitis of left shoulder
M75.1 Rotator cuff tear or rupture, not specified as traumatic
M75.10 Unspecified rotator cuff tear or rupture, not specified as traumatic
M75.100 Unspecified rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic
M75.101 Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic
M75.102 Unspecified rotator cuff tear or rupture of left shoulder, not specified as traumatic
M75.11 Incomplete rotator cuff tear or rupture not specified as traumatic
M75.110 Incomplete rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic
M75.111 Incomplete rotator cuff tear or rupture of right shoulder, not specified as traumatic
M75.112 Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic
M75.12 Complete rotator cuff tear or rupture not specified as traumatic
M75.120 Complete rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.