ICD-10-CM Billable Code

M25.811

Other specified joint disorders, right shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Other specified joint disorders of the right shoulder, classified under ICD-10 code M25.811, refer to various specific problems affecting the shoulder joint that do not fall into more common diagnostic categories. These conditions can cause discomfort, stiffness, and reduced mobility, impacting daily activities and quality of life. Since these disorders are quite diverse, proper diagnosis and management are essential for effective treatment.

Causes & Symptoms

Clinical Causes: Previous shoulder injuries or trauma Degenerative changes or wear-and-tear of the joint Repetitive movement or overuse injuries Inflammatory conditions such as bursitis or tendinitis Post-surgical complications Infections in the joint Autoimmune diseases affecting joint tissues Structural abnormalities or congenital issues

Key Symptoms: Persistent shoulder pain, especially with movement or activity Stiffness or reduced range of motion Swelling or tenderness around the shoulder joint A feeling of instability or weakness in the shoulder Pain radiating down the arm or into the neck Audible grinding or clicking sounds during shoulder movement Difficulty performing tasks that involve lifting or reaching

Diagnostic & Treatment

Diagnosis Path: Diagnosing other specified joint disorders of the right shoulder involves a comprehensive clinical assessment, including an evaluation of medical history and physical examination. Healthcare providers may utilize various diagnostic tools such as:

Treatment Protocols: Managing these shoulder joint disorders typically involves a combination of approaches tailored to the specific condition and severity. Common treatment options 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 M25.811 a billable ICD-10 code?
Yes, M25.811 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M25.811?
Clinical documentation must specify the nature of Other specified joint disorders, right shoulder and any associated comorbidities for accurate reporting.

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