What is the ICD-10 code for glenohumeral osteoarthritis?

The ICD-10 code for primary osteoarthritis of the right shoulder is M19.011, and for the left shoulder, it is M19.012.

How do you document glenohumeral osteoarthritis?

Documentation should include laterality, type of osteoarthritis, and imaging evidence such as joint space narrowing and osteophytes.

ICD-10 Coding for Glenohumeral Osteoarthritis(M19.011, M19.01, M19.012)

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Learn about the ICD-10 coding for glenohumeral osteoarthritis, including 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 Osteoarthritis

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
M19.011	Primary osteoarthritis, right shoulder	Use when primary osteoarthritis is confirmed in the right shoulder with no underlying cause.	Radiographic evidence of joint space narrowing Presence of osteophytes Subchondral sclerosis
M19.012	Primary osteoarthritis, left shoulder	Use when primary osteoarthritis is confirmed in the left shoulder with no underlying cause.	Radiographic evidence of joint space narrowing Presence of osteophytes Subchondral sclerosis

Primary ICD-10-CM Codes

Primary osteoarthritis, right shoulder

M19.011Billable

Differential Codes

Alternative codes to consider when ruling out similar conditions

Post-traumatic osteoarthritis, right shoulderM19.111

Post-traumatic osteoarthritis, left shoulderM19.112

Documentation & Coding Risks

Avoid these common issues when documenting Glenohumeral Osteoarthritis.

Omitting imaging evidence in documentation

Impact

Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials or reduced reimbursement.

Mitigation

Attach imaging reports to the patient's record, Ensure imaging findings are referenced in the diagnosis

Incorrect laterality coding

Impact

Reimbursement: Incorrect coding can lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines may result in audits., Data Quality: Impacts the accuracy of patient records and data analysis.

Mitigation

Verify and document the affected shoulder clearly in the medical record.

Laterality documentation

Impact

Failure to document laterality can lead to incorrect coding and audits.

Mitigation

Implement a checklist to ensure laterality is documented in all relevant notes.

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 codes11

Coding risks3

FAQs2

ICD-10 Coding for Glenohumeral Osteoarthritis(M19.011, M19.01, M19.012)

Documentation & Coding Risks

Frequently Asked Questions

What is the ICD-10 code for glenohumeral osteoarthritis?

How do you document glenohumeral osteoarthritis?

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