M71.111
Other infective bursitis, right shoulder
Clinical Classification Guidelines
Medical Intelligence & Overview
Other infective bursitis of the right shoulder, classified under ICD-10 code M71.111, is a condition characterized by inflammation caused by infection within the bursa situated in the shoulder region. The bursa is a small fluid-filled sac that acts as a cushion, reducing friction between tissues like tendons and bones during shoulder movements. When infected, this bursa becomes inflamed, leading to pain, swelling, and limited mobility. While bursitis often results from repetitive stress or injury, infective bursitis involves bacterial, viral, or fungal invasion, making it a more serious condition requiring targeted treatment.
Causes & Symptoms
Clinical Causes: Bacterial infection, often due to bacteria like Staphylococcus aureus or Streptococcus species Spread from nearby skin or soft tissue infections Inoculation through skin punctures, cuts, or abrasions near the shoulder Extension of systemic infections leading to localized bursitis Invasive procedures or injections into the shoulder area Repetitive shoulder movements or trauma that may predispose to infection Compromised immune system increasing susceptibility to infections
Key Symptoms: Pain in the shoulder, which may worsen with movement or pressure Swelling or palpable fullness around the shoulder joint Warmth and redness over the affected area Limited range of motion due to discomfort or swelling Tenderness upon touch Fever and general malaise in some cases Possible signs of systemic infection if bacteria spread beyond the bursitis
Diagnostic & Treatment
Diagnosis Path: Physical assessment to evaluate swelling, tenderness, and range of motion Imaging studies such as X-rays, ultrasound, or MRI to assess joint and soft tissue involvement Laboratory tests including blood work to identify signs of infection Aspiration of bursal fluid for laboratory analysis—this involves extracting fluid from the bursa to identify infectious organisms, evaluate cell counts, and determine antibiotic sensitivities Blood cultures if systemic infection is suspected
Treatment Protocols: Antibiotic therapy tailored to the specific infectious organism identified through laboratory testing Drainage of infected bursal fluid, if necessary, to reduce pressure and remove infectious material Rest and immobilization of the shoulder to minimize irritation and facilitate healing Analgesics and anti-inflammatory medications to control pain and inflammation Physical therapy may be recommended after initial treatment to restore function and strength In cases where infection persists or recurs, surgical intervention might be required to remove the affected bursa Addressing underlying causes such as improving shoulder mechanics or controlling systemic health issues
Clinical Advice & FAQs
Billing Guidance
Is M71.111 a billable ICD-10 code?
Yes, M71.111 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report M71.111?
Clinical documentation must specify the nature of Other infective bursitis, right shoulder and any associated comorbidities for accurate reporting.
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