ICD-10-CM Billable Code

M75.81

Other shoulder lesions, right shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

ICD-10 Code M75.81 refers to conditions classified as other shoulder lesions affecting the right shoulder. These lesions include a variety of injuries and soft tissue issues that can cause discomfort, limited movement, and other related symptoms. Recognizing the nature of these conditions can help inform appropriate medical evaluations and treatment options, though individual cases vary widely.

Causes & Symptoms

Clinical Causes: Repetitive overhead activities or heavy lifting Trauma from falls or direct impact Overuse injuries from sports or occupational tasks Degenerative changes or aging-related wear and tear Rotator cuff injuries or tears Inflammatory conditions such as bursitis or tendinitis Previous shoulder dislocations or injuries

Key Symptoms: Pain in the shoulder, which may worsen with movement or activity Limited range of motion in the shoulder joint Swelling or tenderness around the shoulder Weakness in the shoulder muscles A clicking or popping sensation during shoulder movement Difficulty performing daily activities due to discomfort Possible numbness or tingling if nerve involvement occurs

Diagnostic & Treatment

Diagnosis Path: Diagnosis typically involves a clinical examination by a healthcare professional, who assesses shoulder strength, flexibility, and pain points. Imaging studies are commonly used to confirm the condition and include:

Treatment Protocols: Treatment approaches depend on the specific type and severity of the shoulder lesion. Common strategies 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 M75.81 a billable ICD-10 code?
Yes, M75.81 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M75.81?
Clinical documentation must specify the nature of Other shoulder lesions, right shoulder and any associated comorbidities for accurate reporting.

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