Wiki Rotatator Cuff M75.111 vs S43.421A

[SSShaw]

I am billing for orthotic bracing for several doctors.. We received an ICD-9 code of 840.4 RT a rotator cuff tear.. One practice also sent the ICD-10 of M75.111 another practice sent S43.421A I am inclined towards the "S" code..
any thoughts... I think it's gonna be an uphill hike for a while.
Sam

 

[mitchellde]

If it is due to injury then use the S code if it is degenerative or old use the M.

 

[SSShaw]

Thanks.. we only get codes from the doctors... Oh .... so much more work... until I get my ICD-10 mojo goin