How do you code bilateral osteoarthritis of the shoulder?

To code bilateral osteoarthritis of the shoulder, use two separate codes: M19.011 for the right shoulder and M19.012 for the left shoulder.

What is the ICD-10 code for primary osteoarthritis of the shoulder?

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

ICD-10 Coding for Osteoarthritis of the Shoulder(M19.011, M19.01, M19.012)

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Learn about ICD-10 coding for osteoarthritis of the shoulder, including primary and secondary codes, documentation requirements, and common pitfalls.

Also known as:

Degenerative Joint Disease of the ShoulderShoulder OA

Related ICD-10 Code Ranges

Complete code families applicable to Osteoarthritis of the Shoulder

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 diagnosed in the right shoulder without any underlying cause.	X-ray or MRI showing joint space narrowing Presence of osteophytes
M19.012	Primary osteoarthritis, left shoulder	Use when primary osteoarthritis is diagnosed in the left shoulder without any underlying cause.	X-ray or MRI showing joint space narrowing Presence of osteophytes

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

Use when OA is due to previous trauma.

Post-traumatic osteoarthritis, left shoulderM19.112

Use when OA is due to previous trauma.

Documentation & Coding Risks

Avoid these common issues when documenting Osteoarthritis of the Shoulder.

Failing to document laterality

Impact

Clinical: Ambiguity in treatment planning., Regulatory: Non-compliance with ICD-10 coding rules., Financial: Potential claim denials.

Mitigation

Train staff on the importance of documenting laterality., Use templates that prompt for laterality.

Using a single code for bilateral shoulder osteoarthritis

Impact

Reimbursement: Incorrect coding can lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and data reporting.

Mitigation

Use two separate codes for each shoulder: M19.011 and M19.012.

Laterality Documentation

Impact

Failure to document laterality can lead to audit findings.

Mitigation

Ensure all clinical documentation includes laterality.

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 codes15

Coding risks3

FAQs2

ICD-10 Coding for Osteoarthritis of the Shoulder(M19.011, M19.01, M19.012)

Documentation & Coding Risks

Frequently Asked Questions

How do you code bilateral osteoarthritis of the shoulder?

What is the ICD-10 code for primary osteoarthritis of the shoulder?

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