Incmpl rotatr-cuff tear/ruptr of unsp shoulder, not trauma

This code signifies a partial tear or rupture of the rotator cuff in the shoulder, where the specific shoulder (left or right) is not documented, and the injury is not explicitly stated as traumatic. It indicates an intrinsic or degenerative origin for the tear rather than an acute injury.

Apply this code when documentation clearly states an "incomplete rotator cuff tear" or "partial rotator cuff rupture" without specifying the laterality of the shoulder and without indicating a traumatic event as the cause. This is appropriate for conditions like chronic degeneration or overuse injuries.

• Ensure the documentation explicitly states "incomplete" or "partial" to differentiate from complete tears.
• Avoid using this code if the laterality (left or right shoulder) is specified; instead, use the more specific M75.111 or M75.112.
• Do not use this code if the tear is documented as traumatic; refer to codes in the S46 category for traumatic rotator cuff injuries.