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Home/Diagnosis/ICD-10 Coding for Bilateral Shoulder Conditions

ICD-10 Coding for Bilateral Shoulder Conditions

M19.011
M19.012

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

Also Known as:
Bilateral Shoulder Pain
Bilateral Shoulder Osteoarthritis
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Key Information: ICD-10 Coding for Bilateral Shoulder Conditions

Essential facts and insights about ICD-10 Coding for Bilateral Shoulder Conditions

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 primary osteoarthritis via imaging.

Applicable To

  • • Primary osteoarthritis of the right glenohumeral joint

Important Notes

  • • Ensure laterality is documented as right.

Primary osteoarthritis, left shoulder

Billable Code
M19.012
Billable

Diagnostic Criteria

  • • Confirmed primary osteoarthritis via imaging.

Applicable To

  • • Primary osteoarthritis of the left glenohumeral joint

Important Notes

  • • Ensure laterality is documented as left.
Frequently Asked Questions

How do you code bilateral shoulder osteoarthritis in ICD-10?

For bilateral shoulder osteoarthritis, use M19.011 for the right shoulder and M19.012 for the left shoulder. There is no single bilateral code.

What is the ICD-10 code for bilateral shoulder pain?

ICD-10 does not have a single code for bilateral shoulder pain. Use M25.511 for right shoulder pain and M25.512 for left shoulder pain.

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