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ICD-10 Coding for Right Shoulder Arthritis(M19.011, M05.7, M12.5)

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Comprehensive guide on ICD-10 coding for right shoulder arthritis, including osteoarthritis and other specified types. Learn about documentation requirements and common coding pitfalls.

Also known as:
Osteoarthritis of the Right ShoulderRheumatoid Arthritis of the Right ShoulderPost-Traumatic Arthritis of the Right Shoulder
Related ICD-10 Code Ranges

Complete code families applicable to Right 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

CodeDescription
M19.011Primary osteoarthritis, right shoulder
M13.811Other specified arthritis, right shoulder
Primary ICD-10-CM Codes
Primary osteoarthritis, right shoulder
M19.011Billable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Other specified arthritis, right shoulderM13.811

Use when arthritis is specified as non-osteoarthritis type.

Primary osteoarthritis, right shoulderM19.011

Use when arthritis is confirmed as osteoarthritis.

Documentation & Coding Risks

Avoid these common issues when documenting Right Shoulder Arthritis.

Failing to specify the type of arthritis

Impact

Clinical: May affect treatment decisions, Regulatory: Non-compliance with coding standards, Financial: Potential for claim denials

Mitigation

Use templates for documentation, Educate providers on specificity

Using M25.511 (pain) instead of a specific arthritis code

Impact

Reimbursement: May lead to lower reimbursement rates, Compliance: Non-compliance with coding guidelines, Data Quality: Reduces accuracy of clinical data

Mitigation

Ensure the primary diagnosis of arthritis is documented and coded.

Laterality specification

Impact

Failure to specify laterality can lead to audit findings.

Mitigation

Implement mandatory fields in EHR for laterality.

Frequently Asked Questions

Related condition guides

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