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Home/Diagnosis/ICD-10 Coding for Shoulder Arthroplasty

ICD-10 Coding for Shoulder Arthroplasty

S42.292D
M84.422D

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

Also Known as:
Shoulder Replacement
Total Shoulder Arthroplasty
Reverse Shoulder Arthroplasty
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Key Information: ICD-10 Coding for Shoulder Arthroplasty

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

Use ICD-10 code S42.292D for displaced fracture of the articular head of left humerus, subsequent encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Displaced fracture of the articular head of left humerus, subsequent encounter

Billable Code
S42.292D
Billable

Diagnostic Criteria

clinical:
  • • Fracture displacement confirmed by imaging
documentation:
  • • Laterality and encounter type specified

Applicable To

  • • Displaced fracture of the articular head of left humerus

Important Notes

  • • Ensure documentation specifies fracture displacement and encounter type.

Pathological fracture, left humerus, subsequent encounter

Billable Code
M84.422D
Billable

Diagnostic Criteria

clinical:
  • • Bone density scan confirming osteoporosis

Applicable To

  • • Pathological fracture due to osteoporosis

Important Notes

  • • Ensure documentation specifies the pathological nature of the fracture.
Ancillary Codes

Additional codes that may be used with this diagnosis

S46.011A

Strain of muscle(s) and tendon(s) of the rotator cuff of left shoulder, initial encounter

Use if rotator cuff injury is present alongside fracture.

Frequently Asked Questions

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

The ICD-10 code for a left shoulder arthroplasty due to a displaced fracture is S42.292D, which specifies a subsequent encounter for a displaced fracture of the articular head of the left humerus.

How do you code a pathological fracture of the left humerus?

For a pathological fracture of the left humerus, use ICD-10 code M84.422D, which indicates a subsequent encounter for a pathological fracture.

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