Shoulder lesions
In Other soft tissue disorders (M70-M79), chapter 13: Diseases of the Musculoskeletal System and Connective Tissue
30 billable codes under M75: none are a CC or MCC; none map to an HCC.
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Instructional notes
Excludes2: not included here, code separately if applicable
- shoulder-hand syndrome (M89.0-)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Covers site and laterality, acute injury versus chronic musculoskeletal conditions, 7th characters for pathologic fractures, osteoporosis with or without current fracture, and multisystem inflammatory syndrome.
- Site and laterality (page 60)
- Acute traumatic versus chronic or recurrent musculoskeletal conditions (page 61)
- Coding of Pathologic Fractures (page 61)
- Osteoporosis (page 61)
- Multisystem Inflammatory Syndrome (page 62)
All codes under M75
M75 can't be used on a claim. Pick a billable code below; grey headings group them.
- M75.0Adhesive capsulitis of shoulder
- M75.00Adhesive capsulitis of unspecified shoulder
- M75.01Adhesive capsulitis of right shoulder
- M75.02Adhesive capsulitis of left shoulder
- M75.1Rotator cuff tear or rupture, not specified as traumatic
- M75.10Unspecified rotator cuff tear or rupture, not specified as traumatic
- M75.100Unspecified rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic
- M75.101Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic
- M75.102Unspecified rotator cuff tear or rupture of left shoulder, not specified as traumatic
- M75.11Incomplete rotator cuff tear or rupture not specified as traumatic
- M75.110Incomplete rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic
- M75.111Incomplete rotator cuff tear or rupture of right shoulder, not specified as traumatic
- M75.112Incomplete rotator cuff tear or rupture of left shoulder, not specified as traumatic
- M75.12Complete rotator cuff tear or rupture not specified as traumatic
- M75.120Complete rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic
- M75.121Complete rotator cuff tear or rupture of right shoulder, not specified as traumatic
- M75.122Complete rotator cuff tear or rupture of left shoulder, not specified as traumatic
- M75.2Bicipital tendinitis
- M75.20Bicipital tendinitis, unspecified shoulder
- M75.21Bicipital tendinitis, right shoulder
- M75.22Bicipital tendinitis, left shoulder
- M75.3Calcific tendinitis of shoulder
- M75.30Calcific tendinitis of unspecified shoulder
- M75.31Calcific tendinitis of right shoulder
- M75.32Calcific tendinitis of left shoulder
- M75.4Impingement syndrome of shoulder
- M75.40Impingement syndrome of unspecified shoulder
- M75.41Impingement syndrome of right shoulder
- M75.42Impingement syndrome of left shoulder
- M75.5Bursitis of shoulder
- M75.50Bursitis of unspecified shoulder
- M75.51Bursitis of right shoulder
- M75.52Bursitis of left shoulder
- M75.8Other shoulder lesions
- M75.80Other shoulder lesions, unspecified shoulder
- M75.81Other shoulder lesions, right shoulder
- M75.82Other shoulder lesions, left shoulder
- M75.9Shoulder lesion, unspecified
- M75.90Shoulder lesion, unspecified, unspecified shoulder
- M75.91Shoulder lesion, unspecified, right shoulder
- M75.92Shoulder lesion, unspecified, left shoulder
M75 MS-DRGs
As the principal diagnosis, all 30 billable codes under M75 group to MS-DRG 557 or 558 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
Other codes that refer to M75
Notes on these codes point to M75.
- M65.2 Excludes1: tendinitis as classified in M75-M77
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Shoulder Injuries and Disorders
Your shoulder joint is composed of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone). Your shoulders are the most movable joints in your body. They can also be unstable because the ball of the upper arm is larger than the shoulder socket that holds it. To remain in a stable or normal position, the shoulder must be anchored by muscles, tendons, and ligaments.
Read more about shoulder injuries and disorders on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
