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Home/Diagnosis/ICD-10 Coding for Unspecified Shoulder Pain

ICD-10 Coding for Unspecified Shoulder Pain

M25.519

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

Also Known as:
Shoulder Pain NOS
Shoulder Pain Unspecified
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Key Information: ICD-10 Coding for Unspecified Shoulder Pain

Essential facts and insights about ICD-10 Coding for Unspecified Shoulder Pain

Use ICD-10 code M25.519 for pain in unspecified shoulder, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pain in unspecified shoulder

Billable Code
M25.519
Billable

Diagnostic Criteria

clinical:
  • • Pain without specific etiology and no laterality documented.
documentation:
  • • Negative imaging results for structural damage.

Applicable To

  • • Shoulder pain NOS

Important Notes

  • • Ensure no laterality is documented when using M25.519.
Ancillary Codes

Additional codes that may be used with this diagnosis

M75.9

Unspecified shoulder lesion

Use if structural abnormality is suspected but unconfirmed.

Frequently Asked Questions

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

The ICD-10 code for unspecified shoulder pain is M25.519. It is used when shoulder pain is documented without specifying laterality and no specific etiology is confirmed.

When should M25.519 be used?

Use M25.519 when shoulder pain is documented without laterality and no specific cause is confirmed. Ensure imaging results are negative for structural damage.

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