ICD Code M75.121

ICD code M75.121 is a medical classification used to denote a complete rotator cuff tear or rupture of the right shoulder, where the cause of the tear is not specified as traumatic. This code is part of the International Classification of Diseases, 10th Revision (ICD-10), which is used by healthcare providers to document diagnoses and conditions for billing and statistical purposes. The code helps in identifying the specific nature of the shoulder injury, which is crucial for treatment planning and insurance claims processing.

1. Pain in the Shoulder: Persistent or severe pain localized in the right shoulder, especially during movement or when lying on the affected side.

2. Weakness in the Shoulder: Noticeable weakness in the right shoulder, particularly when attempting to lift the arm or perform overhead activities.

3. Limited Range of Motion: Difficulty or inability to move the right shoulder through its full range of motion, often accompanied by stiffness.

4. Shoulder Instability: A sensation of the shoulder feeling loose or slipping out of place, particularly during certain movements.

5. Audible Sounds: Clicking, popping, or cracking sounds in the right shoulder during movement, which may indicate structural issues.

6. Swelling or Tenderness: Swelling, tenderness, or inflammation around the right shoulder joint, which may be observed upon physical examination.

7. Muscle Atrophy: Visible muscle wasting or atrophy around the shoulder area, indicating long-term disuse or nerve involvement.

8. Positive Imaging Findings: Confirmation of a complete tear or rupture through imaging studies such as MRI or ultrasound, showing a full-thickness tear of the rotator cuff tendons.

9. Failure to Respond to Conservative Treatment: Lack of improvement in symptoms despite conservative management, such as physical therapy, rest, or medication.

10. Functional Impairment: Significant impact on daily activities and tasks due to shoulder dysfunction, affecting quality of life and occupational performance.

For the ICD code M75.121, which pertains to a complete rotator cuff tear or rupture of the right shoulder, not specified as traumatic, the relevant CPT codes that may be applicable for treatment include:

1. 23410 - Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; acute.
2. 23412 - Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; chronic.
3. 29827 - Arthroscopy, shoulder, surgical; with rotator cuff repair.
4. 29828 - Arthroscopy, shoulder, surgical; biceps tenodesis.

These CPT codes are commonly used in procedures related to the repair of rotator cuff tears or ruptures and should be selected based on the specific surgical approach and the chronicity of the condition. Always ensure that the chosen CPT code accurately reflects the procedure performed and is supported by the clinical documentation.

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