M75.00 ICD-10-CM Code: Adhesive capsulitis of unspecified shoulder
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Inpatient Payment Groups (MS-DRG)
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 557 — TENDONITIS, MYOSITIS AND BURSITIS WITH MCC (MDC 08)
- MS-DRG 558 — TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC (MDC 08)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for M75.00 in the official ICD-10-CM tabular list.
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- shoulder-hand syndrome (M89.0-) Compare M75.00 vs M89.0 →
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Contextual Map
Every relationship of M75.00 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- M00-M99 — Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) (M00-M99) [Hierarchy]
- M70-M79 — Other soft tissue disorders [Hierarchy]
Clinical classification (CCSR)
- MUS025 — Other specified connective tissue disease [CCSR]
Potential MS-DRG
- DRG 557 — TENDONITIS, MYOSITIS AND BURSITIS WITH MCC [MS-DRG]: “TENDONITIS, MYOSITIS AND BURSITIS WITH MCC (MDC 08)”
- DRG 558 — TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC [MS-DRG]: “TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC (MDC 08)”
MDC crossing · procedures (18508)
- MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue [MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”
- 005T0ZZ — Destruction of Spinal Meninges, Open Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005T3ZZ — Destruction of Spinal Meninges, Percutaneous Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005T4ZZ — Destruction of Spinal Meninges, Percutaneous Endoscopic Approach [Same-MDC procedure]: “Destruction of Spinal Meninges, Percutaneous Endoscopic Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005W0Z3 — Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord using Laser Interstitial Thermal Therapy, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- 005W0ZZ — Destruction of Cervical Spinal Cord, Open Approach [Same-MDC procedure]: “Destruction of Cervical Spinal Cord, Open Approach — grouped in MDC 08, the procedure side of this code's crossing.” · check together
- and 18503 more
Nearest codes (40)
- M75 — Shoulder lesions [Sibling]
- M75.0 — Adhesive capsulitis of shoulder [Sibling]
- M75.01 — Adhesive capsulitis of right shoulder [Sibling]
- M75.02 — Adhesive capsulitis of left shoulder [Sibling]
- M75.1 — Rotator cuff tear or rupture, not specified as traumatic [Sibling]
- M75.10 — Unspecified rotator cuff tear or rupture, not specified as traumatic [Sibling]
- M75.100 — Unspecified rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic [Sibling]
- M75.101 — Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic [Sibling]
- and 32 more
Relationships & Classification
Clinical classification (AHRQ CCSR):MUS025 — Other specified connective tissue disease (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Potential MS-DRG Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Named in the grouper logic of 2 MS-DRGs: DRG 557 (MDC 08), DRG 558 (MDC 08).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to M75.00 in its code family, with their registry titles.
- M75 — Shoulder lesions
- M75.0 — Adhesive capsulitis of shoulder
- M75.01 — Adhesive capsulitis of right shoulder
- M75.02 — Adhesive capsulitis of left shoulder
- M75.1 — Rotator cuff tear or rupture, not specified as traumatic
- M75.10 — Unspecified rotator cuff tear or rupture, not specified as traumatic
- M75.100 — Unspecified rotator cuff tear or rupture of unspecified shoulder, not specified as traumatic
- M75.101 — Unspecified rotator cuff tear or rupture of right shoulder, not specified as traumatic
- M75.102 — Unspecified rotator cuff tear or rupture of left shoulder, not specified as traumatic
- M75.11 — Incomplete rotator cuff tear or rupture not specified as traumatic