Wiki Rotator cuff tear/tendinitis

rjenn86

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Wondering how others would code this dx: right shoulder rotator cuff partial tear/tendinitis? Would you code both the tear (840.4) as well as tendinitis (726.10) or would you think the doctor isnt sure so just a pain code..? Thank you
 
Rotator Cuff Partial Tear/Tendonitis

Is this an injury to the rotator cuff?

If not, the diagnosis for a partial tear of the rotator cuff is 726.13. You can code the shoulder pain, also if it is documented [719.41]. If there are symptoms only for the rotator cuff, I would use 726.10 and the shoulder pain.

This is how I do it, but you may get other opinions.

CW
 
Looks to me as if the provider is trying to say that the patient has both, but it would have been nice if he/she hadn't used the "/" and had used "and".
 
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