ICD-10-CM Billable Code

M01.X19

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

Clinical Classification Guidelines

Medical Intelligence & Overview

ICD-10 Code M01.X19 refers to a direct infection of an unspecified shoulder, categorized under infectious and parasitic diseases classified elsewhere. This condition involves an infection that affects the shoulder joint or surrounding tissues, caused by various infectious agents. Since the exact cause is unspecified, the diagnosis covers a range of potential infectious sources impacting the shoulder area, leading to inflammation, pain, and potential impairment of movement.

Causes & Symptoms

Clinical Causes: Bacterial infections, such as Staphylococcus or Streptococcus species Viral infections that can spread to the shoulder joint Fungal infections, particularly in immunocompromised individuals Spread from nearby infected tissues or bones Complications from systemic infections that involve joint or soft tissue

Key Symptoms: Persistent shoulder pain and tenderness Swelling around the shoulder joint Redness and warmth over the affected area Limited range of motion or difficulty moving the shoulder Fever and general malaise in some cases Possible pus accumulation or drainage if abscesses form

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a combination of clinical evaluation and diagnostic tests, including:

Treatment Protocols: Management of an unspecified shoulder infection generally involves a multifaceted approach, including:

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.X19 a billable ICD-10 code?
Yes, M01.X19 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M01.X19?
Clinical documentation must specify the nature of Direct infection of unspecified shoulder in infectious and parasitic diseases classified elsewhere and any associated comorbidities for accurate reporting.

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