How do you code bilateral shoulder osteoarthritis in ICD-10?

For bilateral shoulder osteoarthritis, use M19.011 for the right shoulder and M19.012 for the left shoulder. There is no single bilateral code.

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

ICD-10 does not have a single code for bilateral shoulder pain. Use M25.511 for right shoulder pain and M25.512 for left shoulder pain.

ICD-10 Coding for Bilateral Shoulder Conditions(M19.011, M19.01, M19.012)

Save

Learn how to accurately code bilateral shoulder conditions using ICD-10, including osteoarthritis and pain, with detailed documentation requirements.

Also known as:

Bilateral Shoulder PainBilateral Shoulder Osteoarthritis

Related ICD-10 Code Ranges

Complete code families applicable to Bilateral Shoulder Conditions

M00-M99Primary Range

Diseases of the musculoskeletal system and connective tissue

→

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

Code	Description	When to Use	Key Documentation
M19.011	Primary osteoarthritis, right shoulder	Use when imaging confirms primary osteoarthritis in the right shoulder.	X-ray showing joint space narrowing and osteophytes in the right shoulder
M19.012	Primary osteoarthritis, left shoulder	Use when imaging confirms primary osteoarthritis in the left shoulder.	X-ray showing joint space narrowing and osteophytes in the left shoulder

Primary ICD-10-CM Codes

Primary osteoarthritis, right shoulder

M19.011Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Secondary osteoarthritis, right shoulderM19.221

Use if osteoarthritis is due to previous injury or condition.

Secondary osteoarthritis, left shoulderM19.222

Use if osteoarthritis is due to previous injury or condition.

Documentation & Coding Risks

Avoid these common issues when documenting Bilateral Shoulder Conditions.

Documenting 'shoulder pain' without specifying laterality.

Impact

Clinical: Leads to incomplete patient records., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials due to unspecified coding.

Mitigation

Always document laterality in clinical notes., Use templates that prompt for laterality.

Using a single code for bilateral shoulder conditions.

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.

Mitigation

Always use separate codes for each shoulder.

Laterality specification

Impact

Failure to specify laterality can lead to audit flags.

Mitigation

Implement mandatory laterality documentation in EHR systems.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with M19.011.

Primary Code

M19.011

Primary osteoarthritis, right shoulder

Quick Navigation

ICD-10 codes9

Coding risks3

FAQs2

ICD-10 Coding for Bilateral Shoulder Conditions(M19.011, M19.01, M19.012)

Documentation & Coding Risks

Frequently Asked Questions

How do you code bilateral shoulder osteoarthritis in ICD-10?

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

Related condition guides