ICD-10-CM Billable Code

M85.511

Aneurysmal bone cyst, right shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

An aneurysmal bone cyst (ABC) is a benign, blood-filled bone lesion that causes the bones to weaken and swell. When it develops in the right shoulder, it involves the upper arm bone (humerus) or the shoulder blade (scapula). Despite its name, an aneurysmal bone cyst is not a true cyst but a space filled with blood and tissue within the bone. Though it is considered benign, ABCs can grow rapidly and cause structural damage to the affected bone, leading to pain, swelling, and potential fractures if left untreated.

Causes & Symptoms

Clinical Causes: Unknown exact cause; believed to result from abnormal blood vessel development within bone Possible genetic factors that influence vascular development Previous injury or trauma may sometimes be linked, although not definitively causal Genetic mutations that cause abnormal cell growth within the bone

Key Symptoms: Persistent pain in the shoulder region, which may worsen with activity or at night Swelling or noticeable mass around the shoulder area Reduced range of motion in the shoulder joint Weakness in the shoulder or arm Occasional redness or warmth over the affected area In rare cases, fractures can occur if the bone becomes significantly weakened

Diagnostic & Treatment

Diagnosis Path: Diagnosing an aneurysmal bone cyst involves several steps:

Treatment Protocols: Treatment approaches for aneurysmal bone cysts aim to remove or reduce the lesion and prevent complications:

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 M85.511 a billable ICD-10 code?
Yes, M85.511 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M85.511?
Clinical documentation must specify the nature of Aneurysmal bone cyst, right shoulder and any associated comorbidities for accurate reporting.

Cite this Clinical Reference