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Home/Diagnosis/ICD-10 Coding for Shoulder Pain

ICD-10 Coding for Shoulder Pain

M25.511
M25.512

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

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

Essential facts and insights about ICD-10 Coding for 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

  • • Pain localized to the right shoulder with no other specific diagnosis

Applicable To

  • • Right shoulder pain

Important Notes

  • • Ensure laterality is documented to avoid unspecified codes.

Pain in left shoulder

Billable Code
M25.512
Billable

Diagnostic Criteria

    Applicable To

    • • Left shoulder pain

    Important Notes

    • • Ensure laterality is documented to avoid unspecified codes.
    Ancillary Codes

    Additional codes that may be used with this diagnosis

    G89.11

    Acute pain due to trauma

    Use for acute post-traumatic pain in conjunction with primary shoulder pain codes.

    Frequently Asked Questions

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

    The ICD-10 code for right shoulder pain is M25.511. It is used when the pain is localized to the right shoulder without a more specific diagnosis.

    How do you code left shoulder pain in ICD-10?

    Left shoulder pain is coded as M25.512 in ICD-10. Ensure documentation specifies laterality to use this code.

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