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

ICD-10 Coding for Chronic Right Shoulder Pain

M25.511
G89.29

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

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

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

Use ICD-10 code M25.511 for pain in right shoulder, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pain in right shoulder

Billable Code
M25.511
Billable

Diagnostic Criteria

clinical:
  • • Pain localized to the right shoulder for more than 3 months.
documentation:
  • • Explicit mention of 'chronic' in the medical record.

Applicable To

  • • Right shoulder joint pain

Important Notes

  • • Ensure documentation specifies 'chronic' and includes duration.

Other chronic pain

Billable Code
G89.29
Billable

Diagnostic Criteria

clinical:
  • • Chronic pain documented without a specific underlying condition
documentation:
  • • Pain management as the primary focus of the encounter

Applicable To

  • • Chronic pain not elsewhere classified

Important Notes

  • • Sequence first when the encounter is for pain management.
Ancillary Codes

Additional codes that may be used with this diagnosis

M75.01

Adhesive capsulitis of right shoulder

Use when adhesive capsulitis is diagnosed alongside shoulder pain.

Frequently Asked Questions

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

The ICD-10 code for chronic right shoulder pain is M25.511. For chronic pain management, G89.29 may also be used.

How do you document chronic right shoulder pain?

Document chronic right shoulder pain by specifying 'chronic', duration, and including physical exam findings and imaging results.

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