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ICD-10 Coding for Degenerative Arthritis of the Right Clavicle(M19.011, M05.4, M05.42)

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Learn about the ICD-10 coding for degenerative arthritis of the right clavicle, including primary osteoarthritis of the acromioclavicular and sternoclavicular joints.

Also known as:
Osteoarthritis of the Right ClavicleDegenerative Joint Disease of the Right Clavicle
Related ICD-10 Code Ranges

Complete code families applicable to Degenerative Arthritis of the Right Clavicle

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

CodeDescription
M19.011Primary osteoarthritis, right shoulder
M19.031Primary osteoarthritis, right sternoclavicular joint
Primary ICD-10-CM Codes
Primary osteoarthritis, right shoulder
M19.011Billable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Traumatic arthropathy, right shoulderM12.511

Use if arthritis is post-injury.

Rheumatoid arthritis with rheumatoid factor, right shoulderM05.42

Use if synovitis is present.

Documentation & Coding Risks

Avoid these common issues when documenting Degenerative Arthritis of the Right Clavicle.

Not specifying the exact joint involved

Impact

Clinical: May lead to incorrect treatment plans., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential for claim denials or reduced reimbursement.

Mitigation

Always document the specific joint., Use imaging to confirm diagnosis.

Using unspecified shoulder OA code (M19.019)

Impact

Reimbursement: May lead to denials due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health data.

Mitigation

Specify AC or SC joint with M19.011 or M19.031.

Use of unspecified codes

Impact

High risk of audit if unspecified codes are used for shoulder OA.

Mitigation

Use specific codes for AC or SC joint involvement.

Frequently Asked Questions

Related condition guides

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