M75.110 Incomplete rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic
ICD10CM code
ICD10CM
Name of the Condition
Incomplete Rotator Cuff Tear or Rupture of Unspecified Shoulder, Not Specified as Traumatic
Commonly referred to as partial rotator cuff tear.
Summary
An incomplete rotator cuff tear involves partial damage to the tendon fibers in the shoulder. Unlike a full tear, some fibers remain intact, affecting shoulder strength and flexibility.
Causes
Wear and tear over time, especially in individuals over 40.
Repetitive overhead activities or heavy lifting.
Poor posture or shoulder alignment.
Previous shoulder injuries.
Risk Factors
Aging, as rotator cuff tendons naturally degenerate over time.
Occupations or sports involving repetitive shoulder movement, such as painting or tennis.
Smoking, which can affect blood supply to the rotator cuff.
Symptoms
Shoulder pain, especially when raising or lowering the arm.
Weakness in the shoulder.
A crackling sensation when moving the shoulder in certain ways.
Diagnosis
Physical examination to test range of motion and pain response.
Imaging tests like MRI or ultrasound to assess any tears or inflammation.
Treatment Options
Physical therapy to strengthen shoulder muscles and improve flexibility.
Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief.
Corticosteroid injections to reduce inflammation.
Surgery in severe cases to repair the damaged tendon.
Prognosis and Follow-Up
Many people recover full function with appropriate treatment, though some may experience lingering weakness or discomfort.
Regular follow-up appointments to monitor progress and adjust treatment.
Complications
Permanent weakness or stiffness if untreated.
Progression to a full-thickness tear requiring surgical intervention.
Lifestyle & Prevention
Regular shoulder exercises to maintain strength and flexibility.
Avoiding repetitive overhead activities or taking breaks to prevent fatigue.
Maintaining good posture and ergonomic practices.
When to Seek Professional Help
Persistent shoulder pain not relieved by rest or over-the-counter medications.
Sudden loss of shoulder movement or strength.
Swelling or significant bruising around the shoulder after an activity.
Additional Resources
American Academy of Orthopaedic Surgeons (AAOS)
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Tips for Medical Coders
Confirm the tear is documented as "incomplete" and "unspecified shoulder" to accurately use M75.110.
Double-check that the condition is noted as "not specified as traumatic" before coding.
Avoid confusion with full-thickness tears or diagnoses related to specific traumatic injuries.