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Home/Diagnosis/ICD-10 Coding for Shoulder Conditions

ICD-10 Coding for Shoulder Conditions

M19.012
S43.014A

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

Also Known as:
Shoulder Pain
Shoulder Dislocation
Rotator Cuff Tear
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Key Information: ICD-10 Coding for Shoulder Conditions

Essential facts and insights about ICD-10 Coding for Shoulder Conditions

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 by imaging studies

Applicable To

  • • Degenerative joint disease of left shoulder

Important Notes

  • • Ensure documentation specifies 'primary' osteoarthritis.

Anterior dislocation of right shoulder, initial encounter

Billable Code
S43.014A
Billable

Diagnostic Criteria

  • • Documented traumatic event leading to dislocation

Applicable To

  • • Traumatic dislocation of right shoulder

Important Notes

  • • Ensure laterality and encounter type are documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z01.818

Encounter for other preprocedural examination

Use for pre-surgical evaluations.

S42.255A

Hill-Sachs fracture

Use if a Hill-Sachs lesion is present.

Frequently Asked Questions

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

The ICD-10 code for left shoulder pain is M25.512. Use this code when no specific diagnosis is confirmed.

How to code a shoulder dislocation?

For an anterior dislocation of the right shoulder, use S43.014A for the initial encounter. Ensure laterality and encounter type are documented.

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