M71.019
Abscess of bursa, unspecified shoulder
Clinical Classification Guidelines
Medical Intelligence & Overview
An abscess of the bursa in the shoulder is a localized collection of pus caused by an infection within the bursa, a small fluid-filled sac that cushions and lubricates the shoulder joint. When this condition occurs without specifying which bursa is affected, it is classified under ICD-10 code M71.019. This condition can cause significant discomfort and might impact shoulder movement if not properly treated. Recognizing the symptoms and understanding the causes can help in seeking timely medical attention.
Causes & Symptoms
Clinical Causes: Bacterial infections, most commonly caused by Staphylococcus aureus Injury or trauma to the shoulder, leading to infection Spread of infection from nearby skin or tissues Repeated shoulder movements or overuse causing minor injuries Existing skin infections or wounds near the shoulder area Weakened immune system compromising infection resistance
Key Symptoms: Localized swelling around the shoulder Pain or tenderness in the shoulder area Warmth and redness over the affected bursa Limited range of shoulder motion Fever and chills in some cases A feeling of fullness or pressure in the shoulder
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a physical examination by a healthcare provider, who assesses the swelling, tenderness, and signs of infection. Imaging tests such as ultrasound or MRI can identify fluid accumulation in the bursa and determine its extent. In some cases, a sample of the pus might be taken (aspiration) for laboratory analysis to identify the bacteria responsible, which guides appropriate antibiotic treatment.
Treatment Protocols: Treatment for an abscess of the shoulder bursa usually includes antibiotic therapy to combat the infection. In cases where the abscess is large or not responding to medication, draining the pus via a procedure called aspiration or surgical incision may be necessary. Resting the shoulder and avoiding activities that worsen symptoms are recommended. Pain management with medications and supportive care are also important components of recovery. Follow-up care may include physical therapy to restore shoulder function after the infection resolves.
Clinical Advice & FAQs
Billing Guidance
Is M71.019 a billable ICD-10 code?
Yes, M71.019 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M71.019?
Clinical documentation must specify the nature of Abscess of bursa, unspecified shoulder and any associated comorbidities for accurate reporting.
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