Billable FY2026 ICD-10-CM diagnosis code, shoulder region. What it covers, how to bill it cleanly, and what these patients sound like when they call.
Rotator cuff tear or rupture, unspecified shoulder, not specified as traumatic. The triple-unspecified nature of this code (which shoulder, which tendon, traumatic or not) makes it a documentation red flag on anything beyond an initial encounter.
| Code | Description |
|---|---|
| M75.101 | Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic |
| M75.102 | Unspecified rotator cuff tear or rupture of left shoulder, not specified as traumatic |
| M75.00 | Adhesive capsulitis of unspecified shoulder |
| M75.01 | Adhesive capsulitis of right shoulder |
| M75.02 | Adhesive capsulitis of left shoulder |
| M75.110 | Incomplete rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic |
Shoulder callers split into 2 stories: the gradual can't-reach-overhead decline, and the acute something-popped injury. The distinction drives urgency, imaging, and whether workers comp is in play, all of which a structured intake call captures before the visit.
ClinicFlow's voice AI runs this intake on every call for sports medicine practices: capturing the story, applying your routing rules, and booking the right visit type with the right surgeon. See voice AI for sports medicine practices or the Call Library for how each call type is handled.
M75.100 is the FY2026 ICD-10-CM code for unspecified rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic. Rotator cuff tear or rupture, unspecified shoulder, not specified as traumatic.
Because every axis is unspecified. M75.101/M75.102 at least carry laterality; documentation supporting traumatic versus degenerative changes coverage and, in comp cases, who pays.
Yes. M75.100 appears in the official FY2026 ICD-10-CM code set (effective October 1, 2025). ICD-10-CM is public-domain CMS data; verify annually as codes are revised each fiscal year.
ClinicFlow answers all of them, 24/7, and books them with the right surgeon.
