ICD-10-CM Billable Code

M00.01

Staphylococcal arthritis, shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Staphylococcal arthritis of the shoulder is an infection of the shoulder joint caused by the bacteria Staphylococcus aureus. This condition can lead to severe joint pain, swelling, and potential damage if not treated promptly. It is considered a serious medical condition that requires immediate attention to prevent long-term joint problems.

Causes & Symptoms

Clinical Causes: Bacterial infection, primarily due to Staphylococcus aureus Spread of bacteria through the bloodstream from other infected parts of the body Direct invasion during trauma or surgery involving the shoulder Chronic skin infections or wounds near the shoulder area Compromised immune system making it easier for bacteria to infect the joint

Key Symptoms: Severe pain in the shoulder, especially with movement Swelling and redness around the shoulder joint Warmth in the affected area Limited range of motion due to pain and swelling Fever and chills may be present in some cases General feeling of malaise or fatigue

Diagnostic & Treatment

Diagnosis Path: Diagnosis of staphylococcal arthritis involves a combination of clinical assessment and diagnostic tests. Your healthcare provider may perform:

Treatment Protocols: Treatment options aim to eradicate the infection and preserve joint function. They usually involve:

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 M00.01 a billable ICD-10 code?
Yes, M00.01 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M00.01?
Clinical documentation must specify the nature of Staphylococcal arthritis, shoulder and any associated comorbidities for accurate reporting.

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