Right Shoulder Pain ICD 10 Coding Guide

Shoulder pain is a common complaint amongst adults and can significantly affect daily activities and quality of life. Right shoulder pain is particularly common due to the right shoulder being the dominant one in most individuals. A proper diagnosis is essential in managing right shoulder pain, and one such tool that physicians use to classify and code shoulder pain is the International Classification of Diseases, 10th Revision (ICD-10). The ICD-10 provides a structured and comprehensive way to categorize and record diagnoses and procedures.In this blog post titled “Right Shoulder Pain ICD 10,” we will delve deeply into the various codes that describe right shoulder pain.

“M25.511 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

We will discuss the different classifications of shoulder pain, such as rotator cuff tears, adhesive capsulitis (frozen shoulder), and shoulder impingement syndrome, amongst others. Understanding these classifications and codes can help medical professionals accurately record and communicate patient diagnoses to colleagues, insurance providers, and other stakeholders involved in patient care.

Related Synonyms

  • Bilateral acromioclavicular joint pain
  • Bilateral shoulder joint pain
  • Bilateral shoulder joint pain > 3 months
  • Bilateral shoulder joint pain greater than three months
  • Bilateral sternoclavicular joint pain
  • Pain of right acromioclavicular joint
  • Pain of right shoulder joint
  • Right acromioclavicular joint pain
  • Right shoulder joint pain
  • Right shoulder pain
  • Right sternoclavicular joint pain

Read also: ICD 10 coding guide for Obesity

 What is ICD-10?|Right Shoulder Pain ICD 10

If you are unfamiliar with medical coding, it is easy to get confused by the variety of acronyms and codes that exist. One of these codes is the ICD-10, which stands for the International Classification of Diseases, 10th Revision. It is a set of codes used to classify diagnoses and medical procedures, established by the World Health Organization (WHO) and used globally. The ICD-10 replaced the former ICD-9 code set used in the United States for medical coding purposes.

Pain in right shoulder M25.5

Excludes2: pain in hand (M79.64-)
pain in fingers (M79.64-)
pain in foot (M79.67-)
pain in limb (M79.6-)
pain in toes (M79.67-)
M25

Excludes2: abnormality of gait and mobility (R26.-)
acquired deformities of limb (M20-M21)
calcification of bursa (M71.4-)
calcification of shoulder (joint) (M75.3)
calcification of tendon (M65.2-)
difficulty in walking (R26.2)
temporomandibular joint disorder (M26.6-)

In this post titled “right shoulder pain icd 10” it is important to note that the ICD-10 code is used to describe a patient’s diagnosis to healthcare providers, payers, and other entities involved in healthcare. The use of the ICD-10 code became mandatory in 2015, as mandated by HIPAA (Health Insurance Portability and Accountability Act). Therefore, if you are experiencing right shoulder pain, your healthcare provider will use the diagnosis code right shoulder pain icd 10 to ensure accurate billing and medical coding.

right shoulder pain icd 10

Shoulder diagnosis ICD-10 supporting Procedure codes

Any exam done on shoulder region like X-ray, CT , MRI etc can be supporting the shoulder diagnosis ICD-10 code. If any injury happen in shoulder region MRI exam may be done to find any sprain or tear, any disorder related to ligament or tendon in the shoulder joint.

Any abnormality related to bone can be found out using a x-ray. Any fracture related diagnosis can be found out using X-rays of that particular joint.

Any any surgery is required on shoulder joint then the respective surgery CPT codes will be reported along with shoulder joint.

One Thought to “Right Shoulder Pain ICD 10 Coding Guide”

  1. […] History:  A 76 y.o. -year-old male  has had persistent shoulder pain and functional limitation despite conservative management.  MRI showed above-mentioned findings. […]

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