What is the ICD-10 code for rotator cuff tear? This is a common question among healthcare professionals, patients, and insurance providers. The International Classification of Diseases, Tenth Edition (ICD-10) is a medical classification list by the World Health Organization (WHO) that provides a system for classifying diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases. It is essential for accurate documentation and billing purposes. In this article, we will discuss the ICD-10 code for rotator cuff tear and its significance in the healthcare industry.
The rotator cuff is a group of muscles and tendons that surround the shoulder joint, providing stability and enabling a wide range of movements. A rotator cuff tear is a common injury that occurs when one or more of these tendons become damaged or torn. This condition can be caused by trauma, repetitive strain, or degenerative changes due to aging.
The ICD-10 code for rotator cuff tear is M75.2. This code falls under the category of “Other diseases of the shoulder and upper arm,” which is further divided into specific conditions affecting the rotator cuff. It is important to note that the code M75.2 refers to a partial or full-thickness rotator cuff tear, not a specific type of tear such as a supraspinatus, infraspinatus, or subscapularis tear.
Accurate coding is crucial for several reasons. Firstly, it ensures that healthcare providers receive proper reimbursement for their services. Insurance companies rely on these codes to determine the level of care provided and the associated costs. Secondly, proper coding helps track the prevalence and trends of rotator cuff tears, which can be valuable for research and public health initiatives. Lastly, accurate documentation can lead to better patient care by enabling healthcare providers to identify and treat the condition more effectively.
In conclusion, the ICD-10 code for rotator cuff tear is M75.2. This code plays a vital role in the healthcare industry, ensuring proper documentation, billing, and research. Understanding this code and its significance can help healthcare professionals, patients, and insurance providers work together to provide the best possible care for individuals suffering from this condition.
