ICD-10-CM Billable Code

M01.X1

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

Clinical Classification Guidelines

Medical Intelligence & Overview

ICD-10 Code M01.X1 refers to a specific medical condition characterized by an infection directly affecting the shoulder joint. This diagnosis falls under the category of infectious and parasitic diseases, highlighting its origin in pathogens such as bacteria, fungi, or parasites that invade joint tissues. Such infections can lead to significant pain, swelling, and impairment of shoulder movement. Early detection and appropriate management are crucial to prevent joint damage and ensure optimal recovery.

Causes & Symptoms

Clinical Causes: Bacterial infections, often caused by bacteria like Staphylococcus aureus or Streptococcus species. Fungal infections due to fungi such as Aspergillus or Candida. Parasitic infections, though less common, involving parasites that can invade joint tissues. Spread from nearby infections or wounds, such as skin infections or cellulitis. Hematogenous spread, where pathogens travel through the bloodstream to infect the joint. Post-surgical or post-invasive procedures, increasing the risk of infection.

Key Symptoms: Severe shoulder pain, which may worsen with movement or pressure. Swelling and warmth around the shoulder area. Limited range of motion due to pain or joint stiffness. Redness and tenderness over the shoulder joint. Possible fever and general malaise, indicating systemic infection. In some cases, pus may be present in or around the joint.

Diagnostic & Treatment

Diagnosis Path: Diagnosing an infection of the shoulder joint typically involves several steps:

Treatment Protocols: Management of a shoulder joint infection involves a combination of therapies, tailored to the specific organism and severity of the condition:

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.X1 a billable ICD-10 code?
Yes, M01.X1 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M01.X1?
Clinical documentation must specify the nature of Direct infection of shoulder joint in infectious and parasitic diseases classified elsewhere and any associated comorbidities for accurate reporting.

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shoulder diseases parasitic direct infection infectious joint