ICD-10-CM Billable Code

M94.211

Chondromalacia, right shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Chondromalacia of the right shoulder is a condition characterized by the softening and deterioration of the cartilage on the surface of the shoulder joint. This condition, often involving the articular cartilage, can lead to joint pain, swelling, and limited movement. It is a specific type of cartilage injury that can impact shoulder function and quality of life if left untreated.

Causes & Symptoms

Clinical Causes: Repetitive shoulder movements or overuse, especially in athletes or individuals involved in manual labor Trauma or injury to the shoulder, such as falls or blows Degenerative changes associated with aging Poor joint alignment or biomechanics Previous shoulder injuries or surgeries Underlying conditions like arthritis or joint inflammation

Key Symptoms: Persistent or intermittent shoulder pain, especially with movement A feeling of grinding, clicking, or catching in the shoulder joint Swelling or tenderness around the shoulder Reduced range of motion or stiffness Weakness in shoulder muscles Discomfort that worsens with activity or after prolonged periods of use

Diagnostic & Treatment

Diagnosis Path: Diagnosis of chondromalacia of the right shoulder typically involves a comprehensive clinical evaluation. Healthcare providers may perform physical examinations to assess pain points and joint stability. Imaging studies are crucial for confirming the diagnosis:

Treatment Protocols: Management of chondromalacia involves various approaches aimed at reducing symptoms and restoring joint function. These 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 M94.211 a billable ICD-10 code?
Yes, M94.211 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M94.211?
Clinical documentation must specify the nature of Chondromalacia, right shoulder and any associated comorbidities for accurate reporting.

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