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

ICD-10 Coding for Left Shoulder Osteoarthritis

M19.012
M19.112

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

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

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

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

clinical:
  • • Confirmed by X-ray showing degenerative changes
documentation:
  • • Explicit mention of 'primary osteoarthritis'

Applicable To

  • • Degenerative joint disease of left shoulder

Important Notes

  • • Ensure documentation specifies 'primary' to avoid defaulting to unspecified codes.

Post-traumatic osteoarthritis, left shoulder

Billable Code
M19.112
Billable

Diagnostic Criteria

clinical:
  • • History of shoulder trauma
  • • Imaging showing post-traumatic changes

Applicable To

  • • OA due to previous shoulder injury

Important Notes

  • • Ensure trauma history is clearly documented to justify this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.512

Pain in left shoulder

Use if pain is a significant focus of the encounter.

Frequently Asked Questions

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

The ICD-10 code for primary osteoarthritis of the left shoulder is M19.012. Use M19.112 if the osteoarthritis is post-traumatic.

How do you code bilateral shoulder osteoarthritis?

For bilateral shoulder osteoarthritis, use M19.011 for the right shoulder and M19.012 for the left shoulder, as there is no single code for bilateral cases.

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