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Home/Diagnosis/ICD-10 Coding for Right Clavicle Pain

ICD-10 Coding for Right Clavicle Pain

S42.021A
M25.511

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

Also Known as:
Right Shoulder Pain
Right Clavicular Pain
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Key Information: ICD-10 Coding for Right Clavicle Pain

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

Use ICD-10 code S42.021A for displaced fracture of shaft of right clavicle, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Displaced fracture of shaft of right clavicle, initial encounter

Billable Code
S42.021A
Billable

Diagnostic Criteria

  • • Presence of trauma and imaging confirmation of displacement

Applicable To

  • • Displaced fracture of right clavicle shaft

Important Notes

  • • Ensure documentation specifies 'displaced' and 'shaft' to avoid denials.
  • • Ensure imaging supports the diagnosis of a displaced fracture.

Pain in right shoulder

Billable Code
M25.511
Billable

Diagnostic Criteria

  • • Pain scale documentation
  • • Absence of fracture on imaging

Applicable To

  • • Pain in right shoulder joint

Important Notes

  • • Document pain characteristics and any functional limitations.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.511

Pain in right shoulder

Use for documenting pain when no fracture is confirmed.

Frequently Asked Questions

What is the ICD-10 code for right clavicle pain?

The ICD-10 code for right clavicle pain without a confirmed fracture is M25.511. If a fracture is confirmed, use S42.021A for a displaced fracture.

How do you document right clavicle pain?

Document right clavicle pain by including the pain scale, location, any trauma history, and imaging results to support the diagnosis.

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