ICD-10 Coding for Left Shoulder Rotator Cuff Tendinitis(M67.814)
Complete ICD-10-CM coding and documentation guide for Left Shoulder Rotator Cuff Tendinitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Shoulder Rotator Cuff Tendinitis
M67.81-M67.89Primary Range
Other specified disorders of synovium and tendon
This range includes codes for non-calcific tendinitis of the shoulder.
Calcific tendinitis of shoulder
This range is used for calcific tendinitis, which is not the focus here.
Key Information: ICD-10 code for left shoulder rotator cuff tendinitis
Essential facts and insights about Left Shoulder Rotator Cuff Tendinitis
Primary ICD-10-CM Code for left shoulder rotator cuff tendinitis
Decision Criteria
clinical Criteria
- MRI shows tendon thickening without tear
documentation Criteria
- Documentation specifies left shoulder and non-calcific tendinitis
Applicable To
- Non-calcific rotator cuff tendinitis
Excludes
- Calcific tendinitis (M75.3)
Clinical Validation Requirements
- MRI showing tendon thickening without tear
- Ultrasound indicating hypoechoic tendon texture
Code-Specific Risks
- Confusion with tear codes
- Incorrect laterality documentation
Coding Notes
- Ensure documentation specifies non-calcific nature and absence of tear.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pain in left shoulder
M25.512Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Partial rotator cuff tear, left shoulder
M75.112Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Left Shoulder Rotator Cuff Tendinitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M67.814.
Impact
Clinical: Ambiguity in treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Use templates that prompt for laterality.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data reporting.
Mitigation Strategy
Verify imaging reports to confirm absence of tear.
Impact
Using tear codes for tendinitis cases.
Mitigation Strategy
Regular training on code differentiation.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Left Shoulder Rotator Cuff Tendinitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Shoulder Rotator Cuff Tendinitis
Use these documentation templates to ensure complete and accurate documentation for Left Shoulder Rotator Cuff Tendinitis. These templates include all required elements for proper coding and billing.
Chronic left shoulder pain due to tendinitis
Specialty: OrthopedicsRequired Elements
- Patient history of shoulder pain
- Physical exam findings
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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