How to code bilateral shoulder osteoarthritis?

Use two codes: M19.011 for the right shoulder and M19.012 for the left shoulder. There is no single bilateral code.

What is the ICD-10 code for right shoulder osteoarthritis?

The ICD-10 code for primary osteoarthritis of the right shoulder is M19.011.

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

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Learn about the ICD-10 coding for shoulder osteoarthritis, 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 Shoulder 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 OA is confirmed in the right shoulder without prior trauma.	X-ray showing joint space narrowing and osteophyte formation
M19.012	Primary osteoarthritis, left shoulder	Use when primary OA is confirmed in the left shoulder without prior trauma.	X-ray showing joint space narrowing and osteophyte formation

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 if there is a history of trauma or surgery leading to OA.

Post-traumatic osteoarthritis, left shoulderM19.112

Use if there is a history of trauma or surgery leading to OA.

Documentation & Coding Risks

Avoid these common issues when documenting Shoulder Osteoarthritis.

Failing to document imaging findings

Impact

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

Mitigation

Ensure imaging results are included in the patient's record.

Using unspecified codes when laterality is documented

Impact

Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Poor data quality affecting clinical decision-making.

Mitigation

Always document and code the specific side affected (right or left).

Unspecified coding

Impact

Using unspecified codes when specific codes are applicable.

Mitigation

Always document laterality and type of OA.

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 codes9

Coding risks3

FAQs2

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

Documentation & Coding Risks

Frequently Asked Questions

How to code bilateral shoulder osteoarthritis?

What is the ICD-10 code for right shoulder osteoarthritis?

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