How do you code left shoulder arthritis in ICD-10?

Left shoulder arthritis is coded as M19.012 for primary osteoarthritis or M19.112 for post-traumatic osteoarthritis, depending on the presence of trauma history.

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

The ICD-10 code for left shoulder pain is M25.512, used when arthritis is not confirmed.

ICD-10 Coding for Left Shoulder Arthritis(M19.012, M05.11, M13.81)

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Explore detailed ICD-10 coding guidelines for left shoulder arthritis, including primary and post-traumatic osteoarthritis. Ensure accurate documentation and billing with our expert guide.

Also known as:

Degenerative Joint Disease of Left ShoulderOsteoarthritis of Left Shoulder

Related ICD-10 Code Ranges

Complete code families applicable to Left Shoulder 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 degenerative changes are confirmed by imaging without a history of trauma.	X-ray showing joint space narrowing Absence of trauma history
M19.112	Post-traumatic osteoarthritis, left shoulder	Use when arthritis is secondary to a documented traumatic event.	Documented history of trauma Imaging showing joint degeneration
M13.812	Other specified arthritis, left shoulder	Use for inflammatory arthritis types not specified elsewhere.	Synovitis on ultrasound Elevated inflammatory markers

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 shoulderM19.112

Use when there is a documented history of trauma leading to arthritis.

Primary osteoarthritis, left shoulderM19.012

Use when no trauma history is present.

Rheumatoid arthritis with rheumatoid factorM05.11

Use when rheumatoid factor is positive.

Documentation & Coding Risks

Avoid these common issues when documenting Left Shoulder Arthritis.

Using unspecified codes

Impact

Clinical: Leads to vague clinical records., Regulatory: Non-compliance with coding standards., Financial: Increased risk of claim denials.

Mitigation

Always document laterality and type., Review imaging and history for specificity.

Unspecified laterality

Impact

Reimbursement: Claims may be denied if laterality is not specified., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate data collection and reporting.

Mitigation

Always specify left or right shoulder in documentation.

Confusing primary and post-traumatic osteoarthritis

Impact

Reimbursement: Incorrect coding may lead to claim rejections., Compliance: Potential audit issues due to incorrect coding., Data Quality: Misleading clinical data regarding patient history.

Mitigation

Ensure trauma history is documented for post-traumatic codes.

Laterality specification

Impact

Failure to specify laterality can lead to audit flags.

Mitigation

Implement mandatory fields in EHR for laterality.

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 codes12

Coding risks4

FAQs2

ICD-10 Coding for Left Shoulder Arthritis(M19.012, M05.11, M13.81)

Documentation & Coding Risks

Frequently Asked Questions

How do you code left shoulder arthritis in ICD-10?

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

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