ICD Code M75.1

ICD code M75.1 is rotator cuff tear or rupture, not specified as traumatic.

1. Shoulder pain localized to the lateral aspect, often worsening with overhead activities

2. Weakness or difficulty in shoulder abduction or external rotation

3. Positive impingement signs on physical examination (e.g., Neer or Hawkins-Kennedy test)

4. Tenderness over the supraspinatus tendon or greater tuberosity

5. Imaging evidence (ultrasound or MRI) of partial or full-thickness tear of the supraspinatus tendon

6. Exclusion of other causes of shoulder pain such as adhesive capsulitis, arthritis, or fracture

Relevant CPT codes that may be used to treat ICD code M75.1 include:

- 20610 (Arthrocentesis, aspiration and/or injection; major joint or bursa)

- 23410 (Repair of ruptured musculotendinous cuff, open; acute)

- 23412 (Repair of ruptured musculotendinous cuff, open; chronic)

- 23420 (Reconstruction of complete shoulder (rotator) cuff avulsion, chronic)

- 29822 (Arthroscopy, shoulder, surgical; debridement, limited)

- 29823 (Arthroscopy, shoulder, surgical; debridement, extensive)

- 29827 (Arthroscopy, shoulder, surgical; with rotator cuff repair)

- 97010 (Application of a modality to 1 or more areas; hot or cold packs)

- 97110 (Therapeutic exercises to develop strength and endurance, range of motion and flexibility)

- 97140 (Manual therapy techniques)

These CPT codes are commonly associated with the treatment of ICD code M75.1.

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