M75.11 — Incomplete rotator cuff tear or rupture not specified as traumatic
Is M75.11 billable?
No — M75.11 is a non-billable header code. M75.11 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 3 billable codes beneath M75.11.
Billable codes under this header
M75.11 at a glance
| Code | M75.11 |
|---|---|
| Description | Incomplete rotator cuff tear or rupture not specified as traumatic |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is M75.11 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to M75.11. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Rupture, ruptured › rotator cuff › incomplete
- Tear, torn › rotator cuff › incomplete (traumatic)
Excludes1 — never code together — inherited from M75.1
The conditions below can never be reported together with M75.11 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 M75.11, but a patient may have both at the same time. When documentation supports it, M75.11 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 M75.11, but a patient may have both at the same time. When documentation supports it, M75.11 and the excluded code may both be reported.
- shoulder-hand syndrome (M89.0-)
What codes fall under M75.11? (3)
How long has M75.11 existed?
M75.11 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.