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Home/Diagnosis/ICD-10 Coding for Acromioclavicular Joint Arthritis

ICD-10 Coding for Acromioclavicular Joint Arthritis

M19.011
M19.012
M19.211

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

Also Known as:
AC Joint Arthritis
Shoulder Osteoarthritis
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Key Information: ICD-10 Coding for Acromioclavicular Joint Arthritis

Essential facts and insights about ICD-10 Coding for Acromioclavicular Joint Arthritis

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

clinical:
  • • Confirmed by imaging showing osteophytes and joint space narrowing
documentation:
  • • Documentation must specify 'primary osteoarthritis' and laterality

Applicable To

  • • Primary osteoarthritis of the right AC joint

Important Notes

  • • Ensure laterality is documented and confirmed by imaging.

Primary osteoarthritis, left shoulder

Billable Code
M19.012
Billable

Diagnostic Criteria

clinical:
  • • Confirmed by imaging showing osteophytes and joint space narrowing
documentation:
  • • Documentation must specify 'primary osteoarthritis' and laterality

Applicable To

  • • Primary osteoarthritis of the left AC joint

Important Notes

  • • Ensure laterality is documented and confirmed by imaging.

Secondary osteoarthritis, right shoulder

Billable Code
M19.211
Billable

Diagnostic Criteria

clinical:
  • • History of trauma or previous injury
  • • Imaging showing degenerative changes
documentation:
  • • Document the causative trauma and sequence appropriately.

Applicable To

  • • Post-traumatic osteoarthritis of the right AC joint

Important Notes

  • • Document the causative trauma and sequence appropriately.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.511

Pain in right shoulder

Use if pain is separately addressed and not integral to the OA diagnosis.

M25.512

Pain in left shoulder

Use if pain is separately addressed and not integral to the OA diagnosis.

S43.5XXS

Sprain of acromioclavicular joint, sequela

Use to document previous injury leading to secondary OA.

Frequently Asked Questions

What is the ICD-10 code for AC joint arthritis?

The ICD-10 code for primary osteoarthritis of the AC joint is M19.011 for the right shoulder and M19.012 for the left shoulder.

How is AC joint arthritis documented?

AC joint arthritis documentation should include laterality, type (primary or secondary), and imaging confirmation of osteophytes and joint space narrowing.

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