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Home/Diagnosis/ICD-10 Coding for Shoulder Stiffness

ICD-10 Coding for Shoulder Stiffness

M25.521
M75.01

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

Also Known as:
Frozen Shoulder
Adhesive Capsulitis
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Key Information: ICD-10 Coding for Shoulder Stiffness

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

Use ICD-10 code M25.521 for stiffness of right shoulder, not elsewhere classified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Stiffness of right shoulder, not elsewhere classified

Billable Code
M25.521
Billable

Diagnostic Criteria

clinical_criteria:
  • • ROM restricted without specific pathology
coding_criteria:
  • • No imaging evidence of adhesive capsulitis

Applicable To

  • • Right shoulder stiffness without specific underlying cause

Important Notes

  • • Ensure documentation specifies laterality and absence of specific underlying causes.

Adhesive capsulitis of right shoulder

Billable Code
M75.01
Billable

Diagnostic Criteria

clinical_criteria:
  • • MRI showing capsular thickening >4mm
  • • Global ROM loss in all planes

Applicable To

  • • Frozen shoulder with confirmed capsular thickening

Important Notes

  • • Confirm capsular thickening via imaging before coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

S43.4-

Sprain of shoulder joint

Use if stiffness follows a shoulder sprain.

E11.9

Type 2 diabetes mellitus without complications

Use if adhesive capsulitis is related to diabetes.

Frequently Asked Questions

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

The ICD-10 code for right shoulder stiffness is M25.521, used when there is no specific underlying cause like adhesive capsulitis.

How is adhesive capsulitis coded in ICD-10?

Adhesive capsulitis, or frozen shoulder, is coded as M75.01 for the right shoulder when imaging confirms capsular thickening.

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