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

ICD-10 Coding for Bilateral Shoulder Pain

M25.51
M25.52
M75.43

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

Also Known as:
Pain in both shoulders
Bilateral shoulder discomfort
shoulder pain bilateral
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Key Information: ICD-10 Coding for Bilateral Shoulder Pain

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

Use ICD-10 code M25.51 for pain in right shoulder, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pain in right shoulder

Non-Billable
M25.51
Non-Billable

Diagnostic Criteria

  • • Pain reported and confirmed in the right shoulder

Applicable To

  • • Right shoulder pain

Important Notes

  • • Ensure laterality is documented to avoid unspecified codes.

Pain in left shoulder

Non-Billable
M25.52
Non-Billable

Diagnostic Criteria

  • • Pain reported and confirmed in the left shoulder

Applicable To

  • • Left shoulder pain

Important Notes

  • • Ensure laterality is documented to avoid unspecified codes.

Bursitis of bilateral shoulders

Non-Billable
M75.43
Non-Billable

Diagnostic Criteria

  • • Imaging confirmation of bursitis in both shoulders
  • • Clinical examination showing signs of bursitis bilaterally

Applicable To

  • • Bilateral subacromial bursitis

Important Notes

  • • Document imaging findings to support bilateral diagnosis.

Primary osteoarthritis, right shoulder

Billable Code
M19.011
Billable

Diagnostic Criteria

  • • X-ray or MRI confirming osteoarthritis in the right shoulder

Applicable To

  • • Osteoarthritis in right shoulder

Important Notes

  • • Document imaging findings for each shoulder separately.

Primary osteoarthritis, left shoulder

Billable Code
M19.012
Billable

Diagnostic Criteria

  • • X-ray or MRI confirming osteoarthritis in the left shoulder

Applicable To

  • • Osteoarthritis in left shoulder

Important Notes

  • • Document imaging findings for each shoulder separately.
Frequently Asked Questions

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

The ICD-10 code for bilateral shoulder pain is typically coded using M25.51 for right shoulder pain and M25.52 for left shoulder pain, as there is no single code for bilateral pain.

How do you code bilateral shoulder bursitis?

Bilateral shoulder bursitis is coded with M75.43, which specifically covers bursitis in both shoulders.

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