ICD-10-CM Billable Code

M00.81

Arthritis due to other bacteria, shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Arthritis due to other bacteria in the shoulder, classified under ICD-10 code M00.81, is a form of infectious arthritis caused by bacterial invasion of the shoulder joint. This condition is characterized by inflammation resulting from bacterial infection, leading to pain, swelling, and limited movement. Recognizing the causes, symptoms, diagnosis, and treatment options is essential for managing this condition effectively.

Causes & Symptoms

Clinical Causes: Bacterial infiltration resulting from bloodstream infections Direct inoculation during surgery or shoulder injury Spread from nearby infected tissues Pre-existing skin infections that enter the bloodstream and target the shoulder joint

Key Symptoms: Severe shoulder pain that worsens with movement Swelling and warmth around the shoulder joint Restricted range of motion and stiffness Fever and chills in some cases General feelings of malaise or fatigue Possible redness over the shoulder area

Diagnostic & Treatment

Diagnosis Path: Diagnosis of bacterial arthritis in the shoulder typically involves a combination of clinical evaluation and laboratory tests. Healthcare providers may perform:

Treatment Protocols: Treatment aims to eliminate the infection and preserve joint function. Approaches include:

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 M00.81 a billable ICD-10 code?
Yes, M00.81 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M00.81?
Clinical documentation must specify the nature of Arthritis due to other bacteria, shoulder and any associated comorbidities for accurate reporting.

Cite this Clinical Reference