What is the ICD-10 code for glenohumeral joint arthritis?

The ICD-10 code for primary osteoarthritis of the left shoulder is M19.012. For post-traumatic osteoarthritis of the right shoulder, use M19.211.

How do you code shoulder osteoarthritis?

Code shoulder osteoarthritis by specifying laterality and type: M19.012 for primary left shoulder, M19.211 for post-traumatic right shoulder.

ICD-10 Coding for Glenohumeral Joint Arthritis(M19.012, M19.01, M19.0)

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Learn about ICD-10 coding for glenohumeral joint arthritis, including primary and secondary osteoarthritis codes, documentation requirements, and common pitfalls.

Also known as:

Shoulder OsteoarthritisDegenerative Joint Disease of the Shoulder

Related ICD-10 Code Ranges

Complete code families applicable to Glenohumeral Joint Arthritis

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
M19.012	Primary osteoarthritis, left shoulder	Use when primary osteoarthritis is confirmed in the left shoulder without any underlying trauma or surgery.	Radiographic evidence of joint space narrowing Osteophyte formation
M19.211	Post-traumatic osteoarthritis, right shoulder	Use when osteoarthritis is secondary to a previous injury or surgery in the right shoulder.	History of shoulder trauma or surgery Radiographic changes consistent with osteoarthritis

Primary ICD-10-CM Codes

Primary osteoarthritis, left shoulder

M19.012Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Post-traumatic osteoarthritis, left shoulderM19.212

Primary osteoarthritis, left shoulderM19.012

Documentation & Coding Risks

Avoid these common issues when documenting Glenohumeral Joint Arthritis.

Failing to document the type of osteoarthritis

Impact

Clinical: May lead to inappropriate treatment plans, Regulatory: Increases risk of non-compliance with coding standards, Financial: Potential for denied claims due to unspecified coding

Mitigation

Use structured templates for documentation, Regular training on documentation standards

Using unspecified codes when specific codes are available

Impact

Reimbursement: May lead to reduced reimbursement due to lack of specificity, Compliance: Increases risk of audit failures, Data Quality: Decreases accuracy of clinical data

Mitigation

Document laterality and type of osteoarthritis to use specific codes like M19.012 or M19.211.

Unspecified coding

Impact

Using unspecified codes can trigger audits due to lack of specificity.

Mitigation

Ensure all clinical documentation specifies laterality and type of osteoarthritis.

Frequently Asked Questions

Documentation requirements, coding pitfalls and FAQs for conditions coded with M19.012.

Primary Code

M19.012

Primary osteoarthritis, left shoulder

Quick Navigation

ICD-10 codes9

Coding risks3

FAQs2

ICD-10 Coding for Glenohumeral Joint Arthritis(M19.012, M19.01, M19.0)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for glenohumeral joint arthritis?

How do you code shoulder osteoarthritis?

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