ICD-10-CM Billable Code

M01.X12

Direct infection of left shoulder in infectious and parasitic diseases classified elsewhere

Clinical Classification Guidelines

Medical Intelligence & Overview

ICD-10 code M01.X12 refers to a direct infection of the left shoulder that is classified under infectious and parasitic diseases. This condition involves an infection that affects the tissues of the shoulder, leading to inflammation and potential impairments if not properly managed. Recognizing this specific diagnosis helps healthcare professionals identify, treat, and monitor infections localized to the shoulder region, ensuring targeted medical care.

Causes & Symptoms

Clinical Causes: Bacterial infections, such as Staphylococcus or Streptococcus species Infections resulting from skin wounds or cuts near the shoulder Spread from nearby structures, like the lungs or skin Infections due to invasive procedures or injections in the shoulder area Contiguous spread from nearby infected tissues or bones (osteomyelitis)

Key Symptoms: Localized pain and tenderness in the shoulder Swelling and warmth around the shoulder joint Limited range of motion due to pain or swelling Redness over the affected area Fever and malaise in some cases Possible discharge or pus if an abscess forms

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a combination of medical history, physical examination, and diagnostic tests. These may include:

Treatment Protocols: Management of a shoulder infection usually requires medical intervention, which may encompass:

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 M01.X12 a billable ICD-10 code?
Yes, M01.X12 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M01.X12?
Clinical documentation must specify the nature of Direct infection of left shoulder in infectious and parasitic diseases classified elsewhere and any associated comorbidities for accurate reporting.

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