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Home/Diagnosis/ICD-10 Coding for Scapular Pain

ICD-10 Coding for Scapular Pain

M25.511
M25.512

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

Also Known as:
Shoulder Blade Pain
Scapula Pain
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Key Information: ICD-10 Coding for Scapular Pain

Essential facts and insights about ICD-10 Coding for Scapular 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 localized to the right scapula with positive SAT
documentation:
  • • Detailed note specifying right scapular pain

Applicable To

  • • Pain localized to the right scapula

Important Notes

  • • Ensure documentation specifies laterality and localization to the scapula.

Pain in left shoulder

Billable Code
M25.512
Billable

Diagnostic Criteria

clinical:
  • • Pain localized to the left scapula with positive SRT
documentation:
  • • Detailed note specifying left scapular pain

Applicable To

  • • Pain localized to the left scapula

Important Notes

  • • Ensure documentation specifies laterality and localization to the scapula.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.21

Chronic pain due to trauma

Use when documenting chronic pain related to a traumatic event.

G89.22

Chronic post-traumatic pain

Use when documenting chronic pain following a traumatic event.

Frequently Asked Questions

What is the ICD-10 code for scapular pain?

The ICD-10 code for scapular pain is M25.511 for right scapular pain and M25.512 for left scapular pain. These codes specify pain localized to the shoulder blade area.

How do you document scapular pain?

Document scapular pain by specifying the laterality and localization, such as 'pain at the medial border of the left scapula'. Include clinical test results like SAT or SRT.

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