M75.3
Calcific tendinitis of shoulder
Clinical Classification Guidelines
Inclusion Terms
- Calcified bursa of shoulder
Medical Intelligence & Overview
Calcific tendinitis of the shoulder, classified under ICD-10 code M75.3, is a condition characterized by the buildup of calcium deposits within the tendons of the shoulder. These deposits, often forming in the rotator cuff tendons, can cause significant pain, stiffness, and limited mobility. This condition is also associated with calcification of the shoulder bursa, a fluid-filled sac that reduces friction between tissues. Although it can affect individuals of various ages, it is most common in adults aged 30 to 60, especially those engaged in repetitive shoulder activities or experiencing shoulder trauma.
Causes & Symptoms
Clinical Causes: Repetitive overhead movements or shoulder strain Degenerative changes in shoulder tendons Age-related calcification process Trauma or injury to the shoulder Poor blood supply to shoulder tendons Metabolic or systemic conditions like diabetes or thyroid disorders
Key Symptoms: Sudden or gradual onset of shoulder pain Pain that worsens with shoulder movement or at night Limited range of motion in the shoulder joint Tenderness when pressing on the shoulder Swelling or warmth over the affected area Pain radiating to the upper arm or neck in severe cases
Diagnostic & Treatment
Diagnosis Path: Medical history review focusing on symptom duration and activities that worsen pain Physical examination to assess shoulder tenderness, range of motion, and strength X-rays to visualize calcium deposits within the tendons or bursa Ultrasound imaging to assess tendon integrity and locate calcifications Magnetic resonance imaging (MRI) may be used to evaluate surrounding soft tissues if necessary
Treatment Protocols: Rest and activity modification to avoid aggravating movements Application of ice packs to reduce swelling and pain Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief and inflammation reduction Physical therapy to improve shoulder mobility and strengthen surrounding muscles Extracorporeal shockwave therapy (ESWT) to break down calcium deposits Needling or barbotage procedures to aspirate or fragment calcium deposits under ultrasound guidance Corticosteroid injections for localized inflammation relief Surgical intervention may be considered in persistent cases, involving removal of calcium deposits and repair of damaged tendons
Clinical Advice & FAQs
Billing Guidance
Is M75.3 a billable ICD-10 code?
Yes, M75.3 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M75.3?
Clinical documentation must specify the nature of Calcific tendinitis of shoulder and any associated comorbidities for accurate reporting.
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