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Home/Diagnosis/ICD-10 Coding for Chronic Left Shoulder Pain

ICD-10 Coding for Chronic Left Shoulder Pain

M25.512
M75.42

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

Also Known as:
Persistent Left Shoulder Pain
Long-term Left Shoulder Pain
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Key Information: ICD-10 Coding for Chronic Left Shoulder Pain

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

Use ICD-10 code M25.512 for pain in left shoulder, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pain in left shoulder

Billable Code
M25.512
Billable

Diagnostic Criteria

  • • Pain persisting beyond 3 months without specific diagnosis.

Applicable To

  • • Chronic left shoulder pain

Important Notes

  • • Ensure documentation specifies chronicity and lack of specific diagnosis.

Left rotator cuff tear or rupture, not specified as traumatic

Billable Code
M75.42
Billable

Diagnostic Criteria

  • • MRI confirmation of rotator cuff tear

Applicable To

  • • Partial or complete tear of rotator cuff

Important Notes

  • • Ensure imaging supports diagnosis.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.29

Other chronic pain

Use to indicate chronic pain syndrome if applicable.

Z96.612

Presence of left artificial shoulder joint

Use if patient has a shoulder prosthesis.

Frequently Asked Questions

What is the ICD-10 code for chronic left shoulder pain?

The ICD-10 code for chronic left shoulder pain is M25.512, used when no specific diagnosis is identified.

When should M75.42 be used instead of M25.512?

Use M75.42 when imaging confirms a rotator cuff tear, providing specific documentation of the tear.

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