ICD-10-CM Billable Code

M00.112

Pneumococcal arthritis, left shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Pneumococcal arthritis is an infection caused by the bacteria Streptococcus pneumoniae, leading to inflammation of the joints. When it affects the left shoulder, it is characterized by sudden pain, swelling, and limited mobility. This condition requires prompt medical attention to avoid joint damage and other complications. Recognized under the ICD-10 code M00.112, pneumococcal arthritis primarily affects adults, especially those with weakened immune systems or pre-existing health conditions.

Causes & Symptoms

Clinical Causes: Spread of bacteria through bloodstream from other parts of the body (bacteremia) Direct invasion of the joint following injury or trauma Pre-existing bacterial infections in the lungs, ears, or sinuses that spread to the joint Compromised immune system impairing the body's ability to fight bacterial infections Pre-existing joint conditions or prior joint surgeries that increase susceptibility Living in crowded or unsanitary conditions that facilitate infection transmission

Key Symptoms: Severe pain in the left shoulder, often sudden in onset Swelling and warmth around the affected joint Redness over the joint area Limited range of motion or joint stiffness Fever and chills accompanying joint symptoms General malaise or feeling unwell Possible pus accumulation within the joint (septic arthritis)

Diagnostic & Treatment

Diagnosis Path: Diagnosing pneumococcal arthritis involves a combination of clinical evaluation and laboratory tests. Healthcare providers may perform:

Treatment Protocols: Effective management of pneumococcal arthritis typically involves:

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 M00.112 a billable ICD-10 code?
Yes, M00.112 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M00.112?
Clinical documentation must specify the nature of Pneumococcal arthritis, left shoulder and any associated comorbidities for accurate reporting.

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