What is the ICD-10 code for clavicle pain?

The ICD-10 code for clavicle pain is often coded under M25.51 for shoulder pain, but specific codes like S42.0- are used for fractures.

How do you document clavicle pain?

Document clavicle pain by specifying the exact location, laterality, and any associated trauma or surgical history.

ICD-10 Coding for Clavicle Pain(M25.511, G89.18, M25.51)

Save

Learn about ICD-10 coding for clavicle pain, including documentation requirements and common coding pitfalls.

Also known as:

Collarbone PainShoulder Girdle Pain

Related ICD-10 Code Ranges

Complete code families applicable to Clavicle Pain

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
M25.511	Pain in right shoulder	Use when the pain is generalized to the right shoulder without specific clavicle injury.	Physical examination indicating pain localized to the right shoulder area without specific injury.
S42.022A	Displaced fracture of shaft of right clavicle, initial encounter	Use for initial encounter of a displaced midshaft clavicle fracture.	Radiological evidence of displaced fracture of the clavicle shaft.

Primary ICD-10-CM Codes

Pain in right shoulder

M25.511Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Pain in right sternoclavicular jointM25.611

Use when pain is specifically localized to the sternoclavicular joint.

Displaced fracture of shaft of left clavicle, initial encounterS42.021A

Use for left clavicle fractures.

Documentation & Coding Risks

Avoid these common issues when documenting Clavicle Pain.

Failure to document laterality of clavicle pain.

Impact

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

Mitigation

Always specify right or left in documentation.

Using general shoulder pain codes for clavicle-specific injuries.

Impact

Reimbursement: Potential claim denials due to incorrect coding., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.

Mitigation

Use clavicle-specific codes when the injury is localized to the clavicle.

Incorrect coding of clavicle pain as shoulder pain.

Impact

Audits may target misclassification of clavicle injuries.

Mitigation

Ensure detailed documentation of pain location and etiology.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with M25.511.

Primary Code

M25.511

Pain in right shoulder

Quick Navigation

ICD-10 codes11

Coding risks3

FAQs2

ICD-10 Coding for Clavicle Pain(M25.511, G89.18, M25.51)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for clavicle pain?

How do you document clavicle pain?

Related condition guides