Spontaneous rupture of other tendons, right shoulder

This code signifies a non-traumatic tear or rupture of a tendon in the right shoulder, excluding the rotator cuff. This condition typically results from degenerative changes within the tendon structure, leading to a sudden and unexpected separation of tendon fibers.

Apply this code when documentation clearly indicates a spontaneous (non-traumatic) rupture of a shoulder tendon on the right side, other than those comprising the rotator cuff. Supporting documentation should specify the affected tendon (e.g., biceps, triceps) and confirm the absence of an acute injury or external force as the cause.

• Ensure the documentation explicitly states "spontaneous" or "non-traumatic" to differentiate from traumatic ruptures.
• Verify the specific tendon involved; if a rotator cuff tendon is ruptured, a different code from the M75 series would be appropriate.
• Laterality (right shoulder) is crucial for accurate code assignment.