ICD-10-CM Billable Code

M71.112

Other infective bursitis, left shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Other infective bursitis of the left shoulder, classified under ICD-10 code M71.112, is an inflammatory condition affecting the bursa located in the shoulder region. Bursae are small fluid-filled sacs that cushion bones, tendons, and muscles near joints, facilitating smooth movements. When these sacs become infected, it leads to infective bursitis, which can cause significant discomfort and impairment of shoulder mobility. This condition is specific to the left shoulder and involves an infectious process that requires timely management to prevent further complications.

Causes & Symptoms

Clinical Causes: Bacterial infection: Usually caused by bacteria entering the bursa through a wound, cut, or puncture near the shoulder. Repeated shoulder trauma or overuse: Continuous or repetitive movements can sometimes increase susceptibility to infection. Spread from nearby infections: Infections in surrounding tissues or skin can extend into the bursa. Invasive procedures: Corticosteroid injections or shoulder surgeries may introduce bacteria causing bursitis. Systemic infections: Rarely, bloodstream infections can seed bacteria into the bursa area.

Key Symptoms: Localized shoulder pain: Typically worsens with movement or pressure. Swelling and redness: Visible and palpable over the affected bursa. Warmth over the shoulder area: Indicates inflammation or infection. Limited range of motion: Due to pain and swelling restricting shoulder movements. Fever and chills: Possible if the infection becomes systemic. Tenderness: Sensitive to touch around the shoulder area.

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a combination of clinical examination and investigative procedures. Clinicians may perform an assessment of shoulder movement, palpation for swelling, redness, and tenderness. Confirmatory tests include:

Treatment Protocols: Effective management of infective bursitis involves addressing the infection and alleviating symptoms. Treatment strategies may 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 M71.112 a billable ICD-10 code?
Yes, M71.112 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M71.112?
Clinical documentation must specify the nature of Other infective bursitis, left shoulder and any associated comorbidities for accurate reporting.

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