M75.1
Rotator cuff tear or rupture, not specified as traumatic
Clinical Classification Guidelines
Inclusion Terms
- Rotator cuff syndrome
- Supraspinatus tear or rupture, not specified as traumatic
- Supraspinatus syndrome
Excludes Type 1
- tear of rotator cuff, traumatic (S46.01-)
Medical Intelligence & Overview
A rotator cuff tear or rupture refers to a tear in one or more of the muscles and tendons that stabilize the shoulder joint. Specifically classified under ICD-10 code M75.1, this condition often occurs without a specific traumatic event and can cause significant shoulder pain and limited movement. The rotator cuff is composed of four muscles — supraspinatus, infraspinatus, subscapularis, and teres minor — which work together to enable shoulder mobility and stability. When these tendons are torn or ruptured, it can interfere with shoulder function, leading to ongoing discomfort and impaired arm use.
Causes & Symptoms
Clinical Causes: Degenerative changes associated with aging, leading to weakening of shoulder tendons Repetitive overhead activities, such as throwing, swimming, or lifting Chronic shoulder impingement where tendons are pinched during movement Poor shoulder biomechanics or muscle imbalances Previous shoulder injuries that weaken the tendons over time
Key Symptoms: Persistent shoulder pain, especially when lifting or reaching overhead Weakness in the shoulder or difficulty lifting the arm Limited range of motion in the shoulder joint A cracking or popping sensation during shoulder movement Tenderness around the shoulder joint Discomfort that worsens at night or with activity
Diagnostic & Treatment
Diagnosis Path: To confirm a rotator cuff tear, healthcare providers may perform a physical examination assessing shoulder strength, range of motion, and specific tenderness points. Imaging tests such as ultrasound or magnetic resonance imaging (MRI) are often employed to visualize the tendons and determine the extent of the tear. These diagnostic tools help differentiate between partial and full-thickness tears and guide appropriate treatment options.
Treatment Protocols: Management of a rotator cuff tear typically involves a combination of therapies tailored to the severity of the condition. Initial approaches may include rest, activity modification, and physical therapy focusing on strengthening and flexibility exercises. Non-steroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. For more severe or persistent cases, surgical options such as arthroscopic rotator cuff repair may be recommended to reattach the torn tendons. Postoperative rehabilitation is crucial to restore shoulder function and prevent further injury.
Clinical Advice & FAQs
Billing Guidance
Is M75.1 a billable ICD-10 code?
Yes, M75.1 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M75.1?
Clinical documentation must specify the nature of Rotator cuff tear or rupture, not specified as traumatic and any associated comorbidities for accurate reporting.
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