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Home/Diagnosis/ICD-10 Coding for Left Shoulder Arthritis

ICD-10 Coding for Left Shoulder Arthritis

M19.012
M19.112
M13.812

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

Also Known as:
Degenerative Joint Disease of Left Shoulder
Osteoarthritis of Left Shoulder
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Key Information: ICD-10 Coding for Left Shoulder Arthritis

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

Use ICD-10 code M19.012 for primary osteoarthritis, left shoulder, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Primary osteoarthritis, left shoulder

Billable Code
M19.012
Billable

Diagnostic Criteria

  • • Confirmed degenerative changes on imaging without trauma history.

Applicable To

  • • Degenerative joint disease of left shoulder

Important Notes

  • • Ensure documentation specifies 'primary' osteoarthritis and confirms degenerative changes via imaging.

Post-traumatic osteoarthritis, left shoulder

Billable Code
M19.112
Billable

Diagnostic Criteria

  • • Use when arthritis is secondary to a documented traumatic event.

Applicable To

  • • Arthritis due to previous injury

Important Notes

  • • Ensure trauma history is clearly documented, including date and type of injury.

Other specified arthritis, left shoulder

Billable Code
M13.812
Billable

Diagnostic Criteria

  • • Use for inflammatory arthritis types not specified elsewhere.

Applicable To

  • • Inflammatory arthritis without rheumatoid factor

Important Notes

  • • Document specific type of arthritis and confirm with lab results.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.512

Pain in left shoulder

Use when pain is present but arthritis is not confirmed.

Frequently Asked Questions

How do you code left shoulder arthritis in ICD-10?

Left shoulder arthritis is coded as M19.012 for primary osteoarthritis or M19.112 for post-traumatic osteoarthritis, depending on the presence of trauma history.

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

The ICD-10 code for left shoulder pain is M25.512, used when arthritis is not confirmed.

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