ICD-10 M75.111
Billable / SpecificIncomplete rotator cuff tear or rupture of right shoulder, not specified as traumatic
About ICD-10-CM M75.111
ICD-10-CM code M75.111 represents Incomplete rotator cuff tear or rupture of right 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 M75.111 became effective on October 1, 2025.
Medicare LCD Coverage for M75.111
Local Coverage Determinations (LCDs) from CMS MACs that list M75.111 as a covered diagnosis.
Showing top 10 of 342 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M75.111.
1 Cigna
5 Medicare
CPT Codes Commonly Billed with M75.111
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 23472 CMS LCD: Billing and Coding: Total Shoulder Arthroplasty CMS LCD
Convert M75.111 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| M75.111 | 72613 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M75.111
Other codes in section M70-M79 (Other soft tissue disorders).
ICD-10 M75.111, Billing FAQ
Is ICD-10 code M75.111 billable? +
Yes, M75.111 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 M75.111? +
Procedures frequently paired with M75.111 include: 23472.
What ICD-9 codes does M75.111 map to? +
Per CMS GEMs, M75.111 maps to ICD-9 codes: 72613. 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 May 31, 2026.
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