M71.011
Abscess of bursa, right shoulder
Clinical Classification Guidelines
Medical Intelligence & Overview
An abscess of the bursa in the right shoulder is a localized collection of pus that forms within the bursa—a small fluid-filled sac designed to reduce friction between tissues—in that area. This condition results from an infection that leads to inflammation and accumulation of pus, causing pain, swelling, and limited shoulder movement. Recognizing the signs early and understanding the causes and treatment options can assist in managing this condition effectively.
Causes & Symptoms
Clinical Causes: Bacterial infections, commonly Staphylococcus aureus, entering the bursa through a wound or puncture Repetitive shoulder movements or overuse leading to bursitis that becomes infected Direct trauma or injury to the shoulder area resulting in infection Spread of infection from nearby skin or soft tissue infections Pre-existing conditions such as rheumatoid arthritis or gout increasing susceptibility
Key Symptoms: Severe pain in the shoulder that may worsen with movement Swelling and tenderness over the affected bursa redness and warmth around the shoulder Limited range of motion due to pain and swelling Presence of a palpable mass or fluid collection in the shoulder Systemic symptoms such as fever or chills in severe cases
Diagnostic & Treatment
Diagnosis Path: Physical examination to assess tender areas, swelling, and range of motion Ultrasound imaging to detect fluid accumulation and confirm abscess presence Magnetic Resonance Imaging (MRI) for detailed visualization of soft tissues Laboratory tests, including blood tests to assess infection markers Aspiration of the bursal fluid for culture and sensitivity tests to identify the infecting organism
Treatment Protocols: Drainage of the abscess via a minimally invasive procedure or surgery to remove pus Administration of antibiotics tailored to the identified bacteria Rest and immobilization of the affected shoulder to reduce strain Pain management with analgesics Addressing underlying conditions or risk factors that may have contributed to the infection Follow-up imaging to ensure complete resolution of the abscess
Clinical Advice & FAQs
Billing Guidance
Is M71.011 a billable ICD-10 code?
Yes, M71.011 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M71.011?
Clinical documentation must specify the nature of Abscess of bursa, right shoulder and any associated comorbidities for accurate reporting.
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