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Home/Diagnosis/ICD-10 Coding for Shoulder Arthritis

ICD-10 Coding for Shoulder Arthritis

M19.011
M19.012

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

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

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

Use ICD-10 code M19.011 for primary osteoarthritis, right shoulder, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Primary osteoarthritis, right shoulder

Billable Code
M19.011
Billable

Diagnostic Criteria

clinical:
  • • Confirmed degenerative changes on imaging
documentation:
  • • No documented history of shoulder trauma

Applicable To

  • • Degenerative joint disease of right shoulder

Important Notes

  • • Ensure documentation specifies primary osteoarthritis without trauma history.

Primary osteoarthritis, left shoulder

Billable Code
M19.012
Billable

Diagnostic Criteria

clinical:
  • • Confirmed degenerative changes on imaging
documentation:
  • • No documented history of shoulder trauma

Applicable To

  • • Degenerative joint disease of left shoulder

Important Notes

  • • Ensure documentation specifies primary osteoarthritis without trauma history.
Ancillary Codes

Additional codes that may be used with this diagnosis

M75.41

Rotator cuff tear or rupture, right shoulder

Use when there is concurrent rotator cuff pathology confirmed by MRI.

M75.42

Rotator cuff tear or rupture, left shoulder

Use when there is concurrent rotator cuff pathology confirmed by MRI.

Frequently Asked Questions

What is the ICD-10 code for shoulder arthritis?

The ICD-10 code for primary osteoarthritis of the right shoulder is M19.011, and for the left shoulder, it is M19.012.

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.

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