ICD-10-CM Billable Code

M75.00

Adhesive capsulitis of unspecified shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Adhesive capsulitis, commonly known as frozen shoulder, is a condition characterized by stiffness and pain in the shoulder joint. It affects the capsule of connective tissue that surrounds the shoulder joint, leading to restricted movement and discomfort. The condition can develop gradually and may significantly impact daily activities that involve shoulder movement. Although it can affect anyone, it is most common in people between 40 and 60 years old and is slightly more prevalent in women.

Causes & Symptoms

Clinical Causes: Unknown exact cause, but often linked to shoulder injury or immobilization following surgery or injury Chronic conditions such as diabetes, cardiovascular disease, or thyroid disorders Prolonged shoulder immobilization due to fractures or surgeries Inflammation or injury of the shoulder joint Autoimmune conditions Age-related degenerative changes

Key Symptoms: Gradual onset of shoulder stiffness Severe shoulder pain that worsens at night or with movement Limited range of motion in the shoulder, making it difficult to perform daily tasks Difficulty with activities like reaching overhead, dressing, or combing hair Weakness in the shoulder muscles

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a detailed medical history and physical examination. The healthcare provider will assess shoulder mobility and look for signs of stiffness and pain. Imaging tests such as X-rays or MRI scans may be utilized to rule out other joint conditions or injuries, but they often do not show specific signs of adhesive capsulitis. In some cases, a doctor may perform joint capsule distension or prescribe additional tests to confirm the diagnosis.

Treatment Protocols: Physical therapy focusing on gentle stretching exercises to increase mobility Pain management with medications such as NSAIDs (non-steroidal anti-inflammatory drugs) Application of heat or cold packs to alleviate discomfort Corticosteroid injections to reduce inflammation and pain In severe cases, procedures like shoulder manipulation or arthroscopic capsular release may be considered In some cases, a structured physical therapy program combined with home exercises can be effective in improving shoulder function

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is M75.00 a billable ICD-10 code?
Yes, M75.00 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M75.00?
Clinical documentation must specify the nature of Adhesive capsulitis of unspecified shoulder and any associated comorbidities for accurate reporting.

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