ICD-10 Code for Rotator Cuff Tear

Also searched as torn rotator cuff

The ICD-10-CM code for rotator cuff tear depends on the side: M75.101 for the right side, M75.102 for the left and M75.100 when the side is not documented. M75.10 itself is a header code and cannot be billed. There is no bilateral code, so bilateral rotator cuff tear is reported with the right and left codes together. If the record documents a more specific type, the code changes — see the qualifiers below. Valid for FY2027.

M75.10- is a header — not billableLaterality required

Rotator cuff tear ICD-10 codes at a glance

ConditionRotator cuff tear
RightM75.101Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic
LeftM75.102Unspecified rotator cuff tear or rupture of left shoulder, not specified as traumatic
UnspecifiedM75.100Unspecified rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic
BillableNo — M75.10 is a header; use a code beneath it
Alphabetic Index entryTear, torn, rotator cuff
Code setICD-10-CM FY2027, valid October 1, 2026 – September 30, 2027

What is the ICD-10 code for left rotator cuff tear?

The ICD-10-CM code for left rotator cuff tear is M75.102Unspecified rotator cuff tear or rupture of left shoulder, not specified as traumatic. M75.102 is billable.

Is there an ICD-10 code for bilateral rotator cuff tear?

No. ICD-10-CM has no bilateral code for rotator cuff tear, so bilateral rotator cuff tear is reported with both M75.101 (right) and M75.102 (left).

If no bilateral code is provided and the condition is bilateral, assign separate codes for both the left and right side.
ICD-10-CM Official Guidelines, Section I.B.13

When can the unspecified-side code for rotator cuff tear be used?

The unspecified-side code for rotator cuff tear is M75.100Unspecified rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic. M75.100 is billable.

If the side is not identified in the medical record, assign the code for the unspecified side.
ICD-10-CM Official Guidelines, Section I.B.13
Codes for "unspecified" side should rarely be used, such as when the documentation in the record is insufficient to determine the affected side and it is not possible to obtain clarification.
ICD-10-CM Official Guidelines, Section I.B.13

What changes the rotator cuff tear code?

The Alphabetic Index lists these qualifiers under Tear, torn, rotator cuff. If the record documents one of them, the code changes. Verify the code in the Tabular List before reporting it.

completeM75.12-Complete rotator cuff tear or rupture not specified as traumatic
incompleteM75.11-Incomplete rotator cuff tear or rupture not specified as traumatic
traumaticS46.01-Strain of muscle(s) and tendon(s) of the rotator cuff of shoulder
traumatic › capsuleS43.42-Sprain of rotator cuff capsule

What does the Tabular List say about M75.10?

The instructional notes that govern M75.10-, including those it inherits from its category and chapter. An Excludes1 note means the two codes are never reported together.

Excludes1 — never code together — inherited from M75.1

The conditions below can never be reported together with M75.10 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 M75.10, but a patient may have both at the same time. When documentation supports it, M75.10 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 M75.10, but a patient may have both at the same time. When documentation supports it, M75.10 and the excluded code may both be reported.

  • shoulder-hand syndrome (M89.0-)

Codes, descriptions and Index entries are from the official ICD-10-CM FY2027 release. Guideline text is quoted from the ICD-10-CM Official Guidelines for Coding and Reporting FY 2027. A code must always be verified in the Tabular List before it is reported. Data sources