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Home/Diagnosis/ICD-10 Coding for Adhesive Capsulitis

ICD-10 Coding for Adhesive Capsulitis

M75.0
M75.01
M75.02

Complete ICD-10-CM coding and documentation guide for icd-10 coding for adhesive capsulitis includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Frozen Shoulder
Shoulder Capsulitis
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Key Information: ICD-10 Coding for Adhesive Capsulitis

Essential facts and insights about ICD-10 Coding for Adhesive Capsulitis

Use ICD-10 code M75.0 for adhesive capsulitis of shoulder, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Adhesive capsulitis of shoulder

Non-Billable
M75.0
Non-Billable

Diagnostic Criteria

clinical:
  • • Presence of shoulder stiffness and pain with restricted ROM.
documentation:
  • • Laterality and stage of adhesive capsulitis documented.

Applicable To

  • • Frozen shoulder

Important Notes

  • • Ensure laterality is documented to avoid using unspecified codes.

Adhesive capsulitis of right shoulder

Billable Code
M75.01
Billable

Diagnostic Criteria

clinical:
  • • MRI showing capsular thickening >4mm
  • • Restricted ROM in right shoulder

Applicable To

  • • Frozen shoulder, right

Important Notes

  • • Ensure documentation specifies right shoulder.

Adhesive capsulitis of left shoulder

Billable Code
M75.02
Billable

Diagnostic Criteria

clinical:
  • • MRI showing capsular thickening >4mm
  • • Restricted ROM in left shoulder

Applicable To

  • • Frozen shoulder, left

Important Notes

  • • Ensure documentation specifies left shoulder.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.51-

Pain in shoulder

Use for documenting shoulder pain related to adhesive capsulitis.

Z47.89

Aftercare following joint surgery

Use post-surgery for adhesive capsulitis.

Frequently Asked Questions

What is the ICD-10 code for adhesive capsulitis?

The ICD-10 code for adhesive capsulitis is M75.0, with specific codes M75.01 for the right shoulder and M75.02 for the left shoulder.

How do you code bilateral adhesive capsulitis?

For bilateral adhesive capsulitis, use M75.01 for the right shoulder and M75.02 for the left shoulder. Avoid using M75.03 as it is not recognized in ICD-10-CM.

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