ICD-10-CM Billable Code

M13.812

Other specified arthritis, left shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Other specified arthritis of the left shoulder, coded as M13.812 in the ICD-10 system, refers to a type of joint inflammation affecting the left shoulder that doesn't fall into the more common categories like osteoarthritis or rheumatoid arthritis. This condition involves inflammation, pain, and potential limitations in movement, impacting daily activities and quality of life. Proper understanding of this diagnosis can help in managing symptoms and exploring treatment options.

Causes & Symptoms

Clinical Causes: Repeated injury or trauma to the shoulder joint Infections that inflame the joint Autoimmune responses attacking joint tissues Previous joint surgeries or damage Chronic overuse or repetitive movements Other underlying systemic conditions affecting joints

Key Symptoms: Persistent shoulder pain, often worsening with activity Swelling and warmth around the shoulder joint Limited range of motion, making it difficult to move or rotate the shoulder Stiffness, especially after periods of inactivity or in the morning Tenderness when pressing on the shoulder area Possible weakness in shoulder movements

Diagnostic & Treatment

Diagnosis Path: Diagnosing other specified arthritis of the left shoulder involves a thorough medical examination and a series of tests, including:

Treatment Protocols: Treatment aims to reduce inflammation, relieve pain, and improve shoulder function. Approaches typically 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 M13.812 a billable ICD-10 code?
Yes, M13.812 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M13.812?
Clinical documentation must specify the nature of Other specified arthritis, left shoulder and any associated comorbidities for accurate reporting.

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