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

ICD-10 Coding for Right Shoulder Pain

M25.511
M75.111

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

Also Known as:
Right Shoulder Discomfort
Right Shoulder Ache
Pain in Right Shoulder
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Key Information: ICD-10 Coding for Right Shoulder Pain

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

clinical:
  • • Pain without confirmed etiology and negative imaging
documentation:
  • • Lack of specific diagnosis despite clinical evaluation

Applicable To

  • • Right shoulder joint pain

Important Notes

  • • Ensure documentation specifies laterality and any known underlying causes.

Incomplete rotator cuff tear or rupture of right shoulder, not specified as traumatic

Billable Code
M75.111
Billable

Diagnostic Criteria

clinical:
  • • Positive Hawkins/Kennedy test
  • • MRI confirmation of rotator cuff tear

Applicable To

  • • Rotator cuff syndrome of right shoulder

Important Notes

  • • Document imaging results and clinical tests clearly.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.11

Acute pain due to trauma

Use to specify acute pain if related to trauma.

G89.21

Chronic pain due to trauma

Use to specify chronic pain if related to trauma.

Frequently Asked Questions

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

The ICD-10 code for unspecified right shoulder pain is M25.511. Use this code when the cause of pain is not determined.

When should M75.111 be used for shoulder pain?

Use M75.111 when imaging confirms a rotator cuff tear in the right shoulder, supported by clinical tests.

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