M75.100 — Unspecified rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic
Is M75.100 billable?
Yes, but M75.100 is an unspecified code. M75.100 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, M75.100 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting M75.100 — the more specific alternatives are listed below.
M75.100 at a glance
| Code | M75.100 |
|---|---|
| Description | Unspecified rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does M75.100 group to?
M75.100 sits in MDC 08 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 557Tendonitis, Myositis and Bursitis with MCCmedical
- 558Tendonitis, Myositis and Bursitis without MCCmedical
How is M75.100 listed in the Alphabetic Index?
The Alphabetic Index lists these routes under M75.10, the nearest indexed parent of M75.100. Use them to find the family, then select the specific code.
- Rupture, ruptured › rotator cuff
- Syndrome › rotator cuff, shoulder
- Syndrome › supraspinatus
- Tear, torn › rotator cuff (traumatic)
- Tear, torn › supraspinatus (traumatic)
Excludes1 — never code together — inherited from M75.1
The conditions below can never be reported together with M75.100 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- tear of rotator cuff, traumatic (S46.01-)
Excludes2 — not included here — inherited from Chapter 13
The conditions below are not part of M75.100, but a patient may have both at the same time. When documentation supports it, M75.100 and the excluded code may both be reported.
- arthropathic psoriasis (L40.5-)
- certain conditions originating in the perinatal period (P04-P96)
- certain infectious and parasitic diseases (A00-B99)
- compartment syndrome (traumatic) (T79.A-)
- complications of pregnancy, childbirth and the puerperium (O00-O9A)
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
- endocrine, nutritional and metabolic diseases (E00-E88)
- injury, poisoning and certain other consequences of external causes (S00-T88)
- neoplasms (C00-D49)
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
Excludes2 — not included here — inherited from M75
The conditions below are not part of M75.100, but a patient may have both at the same time. When documentation supports it, M75.100 and the excluded code may both be reported.
- shoulder-hand syndrome (M89.0-)
How long has M75.100 existed?
M75.100 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.