Unsp rotatr-cuff tear/ruptr of right shoulder, not trauma

This code signifies a tear or rupture of the rotator cuff in the patient's right shoulder, where the specific cause (e.g., acute injury vs. degenerative) is not documented. It indicates damage to one or more of the four muscles and their tendons that stabilize the shoulder joint.

This code is appropriate when the provider's documentation clearly states a rotator cuff tear of the right shoulder but does not specify if the tear resulted from a traumatic event. It's used when the etiology is unknown or not explicitly documented as traumatic.

• Only use this code when "unspecified" or "not specified as traumatic" is explicitly stated or clearly implied by the lack of further detail regarding the cause.
• Prioritize codes that specify the traumatic or non-traumatic nature of the tear (e.g., M75.111 for traumatic, M75.121 for non-traumatic) if that information is available.
• Ensure laterality (right shoulder) is consistently documented and coded.