AHA Coding Clinic® for ICD-9 - 2011 Quarter 4; VOLUMES 1 & 2 NEW/REVISED CODES
Partial Tear of Rotator Cuff
The patient is a 70-year-old female who is admitted to the hospital with a 4-month history of severe left shoulder pain. The patient did not recall injuring her shoulder, but stated that the pain has progressed and is now severe. The pain is localized to the side of her shoulder. An MRI of the shoulder demonstrates a partial rotator cuff tear. The patient underwent repair of the torn rotator cuff and the provider documents partial rotator cuff tear in his diagnostic statement. How should a partial rotator cuff tear be coded? ...
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Article Overview
This article explains a coding update for partial rotator cuff tear and situates it within broader shoulder and rotator cuff conditions. It is relevant to medical coders, auditors, and clinical documentation staff who need to understand the topic, the related ICD-9-CM code set, and the type of guidance the article provides. The content also includes background on rotator cuff injuries, an ICD-9-CM category context, and a brief coding example.
Why This Topic Matters
Accurate identification of this diagnosis affects how shoulder injury cases are classified and documented. The article is useful for understanding the ICD-9-CM change and the related procedure context for rotator cuff repair.
What You Will Learn
- The ICD-9-CM update that introduced a diagnosis code for partial rotator cuff tear
- How partial rotator cuff tears relate to broader shoulder and rotator cuff conditions
- The general clinical context in which rotator cuff tears are seen
- The type of coding guidance associated with the update
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation staff
- Health information management professionals
Codes Discussed
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