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Home/Diagnosis/ICD-10 Coding for Shoulder Discomfort

ICD-10 Coding for Shoulder Discomfort

M25.512
M75.42

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

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

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

Use ICD-10 code M25.512 for pain in left shoulder, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pain in left shoulder

Billable Code
M25.512
Billable

Diagnostic Criteria

  • • Pain without specific diagnosis

Applicable To

  • • Left shoulder pain

Important Notes

  • • Ensure documentation specifies laterality and duration

Impingement syndrome of shoulder

Billable Code
M75.42
Billable

Diagnostic Criteria

  • • Positive Hawkins or Neer test
  • • Imaging confirming impingement

Applicable To

  • • Shoulder impingement

Important Notes

  • • Document clinical tests and imaging results
Ancillary Codes

Additional codes that may be used with this diagnosis

M75.42

Impingement syndrome of shoulder

Use alongside if impingement is confirmed

Frequently Asked Questions

What is the ICD-10 code for shoulder discomfort?

The ICD-10 code for shoulder discomfort is M25.512 for left shoulder pain and M25.511 for right shoulder pain.

When should M75.42 be used instead of M25.512?

Use M75.42 for confirmed impingement syndrome, while M25.512 is for general shoulder pain without a specific diagnosis.

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