M75.110
Incomplete rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic
Clinical Classification Guidelines
Medical Intelligence & Overview
An incomplete rotator cuff tear refers to a partial injury to the group of muscles and tendons that stabilize and move the shoulder joint. This condition, classified under ICD-10 code M75.110, involves damage that does not fully detach the tendons from the bone but can cause pain, weakness, and reduced shoulder function. Such injuries are typically not caused by a specific traumatic event but can develop gradually over time.
Causes & Symptoms
Clinical Causes: Repetitive overhead activities, such as swimming, tennis, or painting Degenerative changes due to aging, leading to weakening of the tendons Overuse injuries from repetitive shoulder motions Previous shoulder injuries that weaken the tendons Poor shoulder biomechanics or muscle imbalances Chronic impingement of rotator cuff tendons beneath the acromion (part of shoulder blade)
Key Symptoms: Dull or aching pain in the shoulder, especially at night Weakness or difficulty lifting or rotating the arm Limited range of motion in the affected shoulder Pain that worsens with activity or when lifting objects Tenderness around the shoulder joint A feeling of instability or 'looseness' in the shoulder
Diagnostic & Treatment
Diagnosis Path: Diagnosis involves a thorough clinical evaluation by a healthcare provider, including a detailed medical history and physical examination. Special tests may be performed to assess shoulder strength and stability. Imaging studies such as MRI or ultrasound are often used to confirm the presence of an incomplete tear, determine its size, and evaluate the condition of the tendons and surrounding structures.
Treatment Protocols: Management of an incomplete rotator cuff tear typically begins with conservative approaches, including rest, ice application, and avoiding activities that worsen symptoms. Physical therapy is a cornerstone of treatment, focusing on strengthening shoulder muscles and improving flexibility. Nonsteroidal anti-inflammatory drugs (NSAIDs) may help reduce pain and inflammation. In some cases, corticosteroid injections are considered to manage persistent pain. If conservative measures are ineffective, or if the tear worsens, surgical options such as arthroscopic repair may be recommended to restore shoulder function.
Clinical Advice & FAQs
Billing Guidance
Is M75.110 a billable ICD-10 code?
Yes, M75.110 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M75.110?
Clinical documentation must specify the nature of Incomplete rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic and any associated comorbidities for accurate reporting.
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