ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 M75.102

Billable / Specific

Unspecified rotator cuff tear or rupture of left shoulder, not specified as traumatic

M75
Block
0
Synonyms
234
LCDs
7
Payer Policies
1
Linked CPTs

About ICD-10-CM M75.102

ICD-10-CM code M75.102 represents Unspecified rotator cuff tear or rupture of left shoulder, not specified as traumatic. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M75). The 2026 edition of ICD-10-CM M75.102 became effective on October 1, 2025.

Medicare LCD Coverage for M75.102

Local Coverage Determinations (LCDs) from CMS MACs that list M75.102 as a covered diagnosis.

234 LCDs

Showing top 10 of 234 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels
Article ID: 52863, Effective: 2026-01-01 00:00:00, 245 covered, 0 non-covered
CPT 20526 →
CMS LCD: Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels
Article ID: 52863, Effective: 2026-01-01 00:00:00, 245 covered, 0 non-covered
CPT 20561 →
CMS LCD: Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels
Article ID: 52863, Effective: 2026-01-01 00:00:00, 245 covered, 0 non-covered
CPT 20612 →
CMS LCD: Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels
Article ID: 52863, Effective: 2026-01-01 00:00:00, 245 covered, 0 non-covered
CPT 28899 →
CMS LCD: Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels
Article ID: 52863, Effective: 2026-01-01 00:00:00, 245 covered, 0 non-covered
CPT 20550 →
CMS LCD: Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels
Article ID: 52863, Effective: 2026-01-01 00:00:00, 245 covered, 0 non-covered
CPT 20551 →
CMS LCD: Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels
Article ID: 52863, Effective: 2026-01-01 00:00:00, 245 covered, 0 non-covered
CPT 20560 →
CMS LCD: Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, bursa, and ganglion cysts
Article ID: 60304, Effective: , 230 covered, 0 non-covered
CPT 20561 →
CMS LCD: Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, bursa, and ganglion cysts
Article ID: 60304, Effective: , 230 covered, 0 non-covered
CPT 20612 →
CMS LCD: Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, bursa, and ganglion cysts
Article ID: 60304, Effective: , 230 covered, 0 non-covered
CPT 20550 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing M75.102.

7 policies

1 Cigna

Peripheral Nerve Destruction for Pain Conditions - (0525) ---- future effective policy
Policy ID: MM_0525

5 Medicare

Billing and Coding: Pain Management - injection of tendon sheaths, ligaments, ganglion cysts, carpal and tarsal tunnels
Policy ID: ART-52863
Billing and Coding: Home Health Physical Therapy
Policy ID: ART-53058
Billing and Coding: Outpatient Occupational Therapy
Policy ID: ART-53064
Billing and Coding: Outpatient Physical Therapy
Policy ID: ART-53065
Billing and Coding: Total Shoulder Arthroplasty
Policy ID: ART-59878

CPT Codes Commonly Billed with M75.102

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

1 linkages
  • 23472 CMS LCD: Billing and Coding: Total Shoulder Arthroplasty CMS LCD

Convert M75.102 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
M75.102 72610 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 M75.102, Billing FAQ

Is ICD-10 code M75.102 billable? +

Yes, M75.102 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with M75.102? +

Procedures frequently paired with M75.102 include: 23472.

What ICD-9 codes does M75.102 map to? +

Per CMS GEMs, M75.102 maps to ICD-9 codes: 72610. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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