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ICD-10 Coding for Frozen Shoulder(M75.01, M19.011, M19.012)

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Learn about ICD-10 coding for shoulder adhesive capsulitis, including specific codes for right and left shoulders, documentation requirements, and common pitfalls.

Also known as:
Adhesive Capsulitis of the ShoulderShoulder Stiffnessadhesive capsulitis
Related ICD-10 Code Ranges

Complete code families applicable to Frozen 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

CodeDescription
M75.01Adhesive capsulitis of right shoulder
M75.02Adhesive capsulitis of left shoulder
M75.00Adhesive capsulitis of unspecified shoulder
Primary ICD-10-CM Codes
Adhesive capsulitis of right shoulder
M75.01Billable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Rotator cuff tear or ruptureM75.1

Documentation & Coding Risks

Avoid these common issues when documenting Frozen Shoulder.

Failing to document the specific shoulder affected.

Impact

Clinical: Inaccurate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation

Always verify and document the affected side., Use templates that prompt for laterality.

Using unspecified code M75.00 when laterality is known.

Impact

Reimbursement: Potential denials or reduced reimbursement., Compliance: Increased audit risk., Data Quality: Decreased accuracy in clinical data.

Mitigation

Always document and code the specific side affected.

Unspecified laterality

Impact

High audit risk when using M75.00 due to unspecified laterality.

Mitigation

Document specific shoulder involvement and use laterality-specific codes.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with M75.01.