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Home/Diagnosis/ICD-10 Coding for Arthritis of the Shoulder

ICD-10 Coding for Arthritis of the Shoulder

M19.011
M19.012

Complete ICD-10-CM coding and documentation guide for icd-10 coding for arthritis of the shoulder includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Shoulder Osteoarthritis
Degenerative Joint Disease of the Shoulder
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Key Information: ICD-10 Coding for Arthritis of the Shoulder

Essential facts and insights about ICD-10 Coding for Arthritis of the Shoulder

Use ICD-10 code M19.011 for primary osteoarthritis, right shoulder, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Primary osteoarthritis, right shoulder

Billable Code
M19.011
Billable

Diagnostic Criteria

  • • Confirmed by imaging and absence of trauma history

Applicable To

  • • Degenerative joint disease of the right shoulder

Important Notes

  • • Ensure laterality is documented; use only if no trauma history.

Primary osteoarthritis, left shoulder

Billable Code
M19.012
Billable

Diagnostic Criteria

  • • Confirmed by imaging and absence of trauma history

Applicable To

  • • Degenerative joint disease of the left shoulder

Important Notes

  • • Ensure laterality is documented; use only if no trauma history.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.511

Pain in right shoulder

Use to document associated pain symptoms.

M25.512

Pain in left shoulder

Use to document associated pain symptoms.

Frequently Asked Questions

What is the ICD-10 code for arthritis of the shoulder?

The ICD-10 codes for arthritis of the shoulder include M19.011 for primary osteoarthritis of the right shoulder and M19.012 for the left shoulder.

How do you code bilateral shoulder osteoarthritis?

Bilateral shoulder osteoarthritis requires two codes: M19.011 for the right shoulder and M19.012 for the left shoulder.

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