MCMCB Pro
M75

M75Shoulder lesions

Non-billable headerICD-10-CM

M75 is a non-billable header ICD-10-CM code for shoulder lesions. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

  • shoulder-hand syndrome (M89.0-)

Other codes that can never be billed with M75

These codes carry an Excludes1 note pointing at M75. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading M75 alone.

  • M61.4Other calcification of muscle
  • M65.2Calcific tendinitis
  • S43.42Sprain of rotator cuff capsule

Risk adjustment

M75 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead M75

8 child codes. Green means billable.

Questions about M75

Is M75 a billable ICD-10-CM code?
No. M75 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does M75 sit in the tabular list?
Diseases of the musculoskeletal system and connective tissue (M00-M99), in the block Other soft tissue disorders (M70-M79).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.