M75.102 Unspecified rotator cuff tear or rupture of left shoulder, not specified as traumatic

ICD10CM code

#### Name of the Condition
- Unspecified rotator cuff tear or rupture of left shoulder, not specified as traumatic
- Medical term: Rotator cuff tear

#### Summary
An unspecified rotator cuff tear or rupture in the left shoulder refers to a condition where the tendons or muscles of the rotator cuff are torn. This tear is not specified as resulting from a traumatic event. Rotator cuff tears can lead to shoulder pain and reduced mobility.

#### Causes
Rotator cuff tears can be caused by degenerative changes due to aging, repetitive shoulder activities, or acute injuries. In this unspecified case, the specific cause remains unclear, although it is not related to trauma.

#### Risk Factors
- Age: More common in individuals over 40.
- Repetitive overhead motions.
- Genetic predisposition.
- Poor shoulder or upper body mechanics.

#### Symptoms
- Persistent shoulder pain, particularly when lifting the arm.
- Weakness in the shoulder.
- Crackling sensation or crepitus when moving the shoulder.
- Reduced range of motion.

#### Diagnosis
- Physical examination to assess pain and range of motion.
- Imaging tests such as MRI or ultrasound to visualize the tear.
- X-rays to rule out bone spurs or other related issues.

#### Treatment Options
- **Non-surgical options:** Rest, ice application, physical therapy, and anti-inflammatory medications can manage pain and improve function.
- **Surgical options:** Rotator cuff repair surgery might be considered in severe cases, particularly when symptoms persist despite conservative measures.

#### Prognosis and Follow-Up
- Early diagnosis and treatment generally lead to better outcomes.
- Regular follow-up visits are crucial to monitor healing and rehabilitation progress.

#### Complications
- Chronic shoulder pain and stiffness.
- Progression to a complete tear if left untreated.
- Potential for shoulder arthritis development.

#### Lifestyle & Prevention
- Regular exercise to maintain shoulder strength and flexibility.
- Avoiding repetitive overhead activities and heavy lifting.
- Using proper techniques when performing shoulder-related tasks.

#### When to Seek Professional Help
- Persistent shoulder pain lasting for weeks.
- Difficulty lifting arms or performing regular tasks.
- Noticeable weakness in the shoulder.

#### Additional Resources
- American Academy of Orthopaedic Surgeons (AAOS) - [www.aaos.org](https://www.aaos.org)
- Shoulder and Elbow Society - [www.ases-assn.org](https://www.ases-assn.org)

#### Tips for Medical Coders
- Ensure documentation specifics align with ICD-10 code M75.102, particularly noting the laterality (left shoulder) and the unspecified nature of the tear.
- Avoid errors such as misclassifying a traumatic tear as unspecified.

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