ICD-10 M75.120
Billable / SpecificComplete rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic
About ICD-10-CM M75.120
ICD-10-CM code M75.120 represents Complete rotator cuff tear or rupture of unspecified 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 M75.120 became effective on October 1, 2025.
Medicare LCD Coverage for M75.120
Local Coverage Determinations (LCDs) from CMS MACs that list M75.120 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M75.120.
1 Cigna
CPT Codes Commonly Billed with M75.120
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 29826 Shoulder arthroscopy acromioplasty — rotator cuff impingement, shoulder OA, loose body, cervical spondylolisthesis Orthopedics
- 29827 Shoulder arthroscopy rotator cuff repair — rotator cuff tears and injuries, chronic impingement Orthopedics
- 73221 MRI shoulder without contrast — rotator cuff impingement/tear, shoulder injury, shoulder pain, loose body, shoulder dislocation, shoulder OA Orthopedics
Convert M75.120 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 |
|---|---|---|
| M75.120 | 72761 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M75.120
Other codes in section M70-M79 (Other soft tissue disorders).
ICD-10 M75.120, Billing FAQ
Is ICD-10 code M75.120 billable? +
Yes, M75.120 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 M75.120? +
Procedures frequently paired with M75.120 include: 29826, 29827, 73221.
What ICD-9 codes does M75.120 map to? +
Per CMS GEMs, M75.120 maps to ICD-9 codes: 72761. 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 July 16, 2026.
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