Rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic
ICD-10 Code: M75.10 · Body Part: Shoulder
QME Evaluation Process
Shoulder ROM testing per AMA Guides 5th Edition (flexion, abduction, internal/external rotation), strength testing, impingement signs, MRI review. Upper extremity impairment converted to WPI.
Typical Impairment Rating
7-20% UE (3-12% WPI) depending on tear size and functional loss
AMA Guides Edition
5th Edition
Common Treatments
Related Conditions
Body Part Guide
Shoulder Evaluation Guide
Impairment rating methods, common conditions, and QME evaluation protocols
QME Specialties for Rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic
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What is Rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic (M75.10)?
Rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic is an ICD-10 diagnosis code (M75.10) classified under Musculoskeletal conditions. It affects the Shoulder and is commonly encountered in California workers' compensation claims. QME physicians evaluate this condition using AMA Guides 5th Edition protocols.
How is M75.10 rated for impairment?
The typical whole person impairment (WPI) range for Rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic is 7-20% UE (3-12% WPI) depending on tear size and functional loss. The exact rating depends on clinical findings, imaging, and the evaluation method (DRE or ROM) chosen by the QME physician per AMA Guides 5th Edition.
What is the QME evaluation process for M75.10?
Shoulder ROM testing per AMA Guides 5th Edition (flexion, abduction, internal/external rotation), strength testing, impingement signs, MRI review. Upper extremity impairment converted to WPI.
What treatments are common for Rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic?
Common treatments for Rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic include Arthroscopic rotator cuff repair, Physical therapy, Subacromial injection, Activity modification. Treatment appropriateness and outcomes are considered during the QME evaluation when determining permanent and stationary status and apportionment.