ICD-10-CM Billable Code

M13.111

Monoarthritis, not elsewhere classified, right shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Monoarthritis refers to inflammation affecting just one joint in the body. When this condition occurs in the right shoulder and does not fall under more specific classifications, it is documented under ICD-10 code M13.111. This condition can cause significant discomfort and restrict mobility, impacting daily activities. Recognizing the symptoms and understanding possible causes can aid in managing the condition effectively.

Causes & Symptoms

Clinical Causes: Infections such as bacterial, viral, or fungal infections affecting the joint Degenerative joint diseases like osteoarthritis Trauma or injury to the shoulder joint Autoimmune conditions such as rheumatoid arthritis Gout or pseudogout leading to crystal deposits in the joint Crystals or mineral deposits due to metabolic disorders Other inflammatory conditions not classified elsewhere

Key Symptoms: Sudden onset of shoulder pain that may worsen with movement Swelling, redness, warmth, or tenderness around the joint Reduced range of motion in the shoulder Stiffness especially in the morning or after periods of inactivity Possible fever if infection is involved Difficulty performing daily activities due to discomfort

Diagnostic & Treatment

Diagnosis Path: To diagnose monoarthritis of the right shoulder, healthcare providers typically perform a physical examination and review medical history. Diagnostic procedures may include imaging tests such as X-rays or MRI scans to assess joint damage or inflammation. Additionally, joint aspiration—removal of synovial fluid from the joint—helps identify infectious agents or crystals responsible for the inflammation. Blood tests may also be conducted to detect markers of infection or autoimmune activity.

Treatment Protocols: Treatment strategies focus on alleviating pain, reducing inflammation, and addressing the underlying cause. 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 M13.111 a billable ICD-10 code?
Yes, M13.111 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M13.111?
Clinical documentation must specify the nature of Monoarthritis, not elsewhere classified, right shoulder and any associated comorbidities for accurate reporting.

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