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Home/Diagnosis/ICD-10 Coding for Clavicle Pain

ICD-10 Coding for Clavicle Pain

M25.511
S42.022A

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

Also Known as:
Collarbone Pain
Shoulder Girdle Pain
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Key Information: ICD-10 Coding for Clavicle Pain

Essential facts and insights about ICD-10 Coding for Clavicle 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

  • • Pain localized to the shoulder area without specific clavicle injury.

Applicable To

  • • Right shoulder pain

Important Notes

  • • Ensure documentation specifies the exact location of pain to avoid misclassification.

Displaced fracture of shaft of right clavicle, initial encounter

Billable Code
S42.022A
Billable

Diagnostic Criteria

  • • Radiological evidence of displaced fracture of the clavicle shaft.

Applicable To

  • • Displaced midshaft fracture of right clavicle

Important Notes

  • • Ensure fracture details are documented, including displacement and location.
Ancillary Codes

Additional codes that may be used with this diagnosis

W19.XXXA

Fall, initial encounter

Use to specify the external cause of the fracture.

Frequently Asked Questions

What is the ICD-10 code for clavicle pain?

The ICD-10 code for clavicle pain is often coded under M25.51 for shoulder pain, but specific codes like S42.0- are used for fractures.

How do you document clavicle pain?

Document clavicle pain by specifying the exact location, laterality, and any associated trauma or surgical history.

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