ICD-10-CM Billable Code

M00.211

Other streptococcal arthritis, right shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Other streptococcal arthritis of the right shoulder, classified under ICD-10 code M00.211, is a specific type of joint infection caused by streptococcal bacteria affecting the shoulder joint. This condition typically results from bacterial spread to the joint, leading to inflammation and pain. Recognizing this condition is essential for prompt diagnosis and management to prevent joint damage and ensure optimal recovery.

Causes & Symptoms

Clinical Causes: Infection with Streptococcus bacteria, often following a sore throat, skin infection, or other bacterial spread Bacterial inoculation through blood (bacteremia) leading to septic arthritis Compromised immune system increasing susceptibility to bacterial joint infections Recent joint surgery or trauma providing an entry point for bacteria

Key Symptoms: Sudden onset of intense shoulder pain Swelling and redness around the shoulder joint Limited range of motion or difficulty moving the arm Warmth over the affected shoulder Fever and chills accompanying joint symptoms General malaise and discomfort

Diagnostic & Treatment

Diagnosis Path: Diagnosis of streptococcal arthritis involves a combination of clinical assessment and laboratory tests. Key steps include:

Treatment Protocols: Management of streptococcal arthritis involves several integrated strategies:

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 M00.211 a billable ICD-10 code?
Yes, M00.211 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M00.211?
Clinical documentation must specify the nature of Other streptococcal arthritis, right shoulder and any associated comorbidities for accurate reporting.

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