ICD-10-CM Billable Code

M71.319

Other bursal cyst, unspecified shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

An other bursal cyst of the shoulder, classified under ICD-10 code M71.319, refers to a fluid-filled sac that develops in the shoulder's bursae—small fluid-filled sacs that help reduce friction between tissues. While many bursal cysts are benign and manageable, they can sometimes lead to discomfort or restricted movement. This condition might be linked to inflammation, injury, or degenerative changes within the shoulder region. Recognizing the symptoms and understanding the causes can aid in proper management and treatment of this condition.

Causes & Symptoms

Clinical Causes: Repetitive shoulder movements leading to stress on bursae Shoulder trauma or injury Degenerative changes due to aging or arthritis Inflammation from bursitis Infection within the bursa (rare)

Key Symptoms: Visible swelling or lump over the shoulder Pain or tenderness in the affected area Limited range of motion or stiffness Discomfort when moving the shoulder or lifting objects Possible redness or warmth if inflammation or infection is present

Diagnostic & Treatment

Diagnosis Path: Medical history review and physical examination Imaging studies such as ultrasound or MRI to visualize the cyst Assessment of shoulder mobility and pain level Exclusion of other shoulder conditions

Treatment Protocols: Rest and activity modification to reduce stress on the shoulder Application of ice packs to decrease swelling and pain Non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief Physical therapy to improve shoulder strength and flexibility Corticosteroid injections for inflammation control In some cases, aspiration of the cyst to remove excess fluid Surgical intervention if conservative treatments fail or if the cyst causes significant discomfort

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 M71.319 a billable ICD-10 code?
Yes, M71.319 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M71.319?
Clinical documentation must specify the nature of Other bursal cyst, unspecified shoulder and any associated comorbidities for accurate reporting.

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