What is the ICD-10 code for adhesive capsulitis?

The ICD-10 code for adhesive capsulitis is M75.0, with specific codes M75.01 for the right shoulder and M75.02 for the left shoulder.

How do you code bilateral adhesive capsulitis?

For bilateral adhesive capsulitis, use M75.01 for the right shoulder and M75.02 for the left shoulder. Avoid using M75.03 as it is not recognized in ICD-10-CM.

ICD-10 Coding for Adhesive Capsulitis(M75.0, M25.51, M75.00)

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Comprehensive guide on ICD-10 coding for adhesive capsulitis, including laterality, stages, and documentation requirements.

Also known as:

Frozen ShoulderShoulder Capsulitis

Related ICD-10 Code Ranges

Complete code families applicable to Adhesive Capsulitis

M00-M99Primary Range

Diseases of the musculoskeletal system and connective tissue

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
M75.0	Adhesive capsulitis of shoulder	Use when adhesive capsulitis is diagnosed without specifying laterality.	MRI showing capsular thickening >4mm Restricted ROM in shoulder
M75.01	Adhesive capsulitis of right shoulder	Use when adhesive capsulitis is diagnosed in the right shoulder.	MRI showing capsular thickening >4mm Restricted ROM in right shoulder
M75.02	Adhesive capsulitis of left shoulder	Use when adhesive capsulitis is diagnosed in the left shoulder.	MRI showing capsular thickening >4mm Restricted ROM in left shoulder

Primary ICD-10-CM Codes

Adhesive capsulitis of shoulder

M75.0

Differential Codes

Alternative codes to consider when ruling out similar conditions

Rotator cuff tear or ruptureM75.1

Impingement syndromeM75.4

Documentation & Coding Risks

Avoid these common issues when documenting Adhesive Capsulitis.

Failure to document the stage of adhesive capsulitis.

Impact

Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.

Mitigation

Educate providers on the importance of staging., Use templates that prompt for stage documentation.

Using unspecified laterality code M75.00 when laterality is documented.

Impact

Reimbursement: May lead to reduced reimbursement or denials., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.

Mitigation

Always document and code the specific laterality (M75.01 or M75.02).

Incorrectly coding secondary adhesive capsulitis without underlying condition.

Impact

Reimbursement: Incorrect sequencing may affect DRG assignment., Compliance: Violates coding rules for secondary conditions., Data Quality: Impacts the accuracy of patient records.

Mitigation

Ensure underlying condition is coded first, followed by M75.0.

Unspecified Laterality

Impact

Using unspecified codes when laterality is documented.

Mitigation

Implement checks to ensure laterality is documented and coded.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with M75.0.

Primary Code

M75.0

Adhesive capsulitis of shoulder

Quick Navigation

ICD-10 codes9

Coding risks4

FAQs2

ICD-10 Coding for Adhesive Capsulitis(M75.0, M25.51, M75.00)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for adhesive capsulitis?

How do you code bilateral adhesive capsulitis?

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