ICD-10-CM Billable Code

M00.019

Staphylococcal arthritis, unspecified shoulder

Clinical Classification Guidelines

Medical Intelligence & Overview

Staphylococcal arthritis is an infection of the joint caused by the bacteria Staphylococcus. When it affects the shoulder, it can lead to pain, swelling, and limited movement. The condition labeled under ICD-10 code M00.019 refers specifically to cases where the infection affects the shoulder joint without further specification of the exact location or severity. Prompt recognition and treatment are important to prevent joint damage and restore function.

Causes & Symptoms

Clinical Causes: Direct spread of bacteria from nearby infections or injuries Bacterial entry through a wound or surgical site involving the shoulder Bloodstream infections (bacteremia) that reach the shoulder joint Compromised immune system increasing susceptibility to bacterial infections Use of intravenous lines or injections introducing bacteria

Key Symptoms: Severe shoulder pain that worsens with movement Swelling and warmth around the shoulder joint Redness visible on the skin over the shoulder Limited range of motion due to pain and swelling Fever and chills in some cases General malaise and feeling unwell

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a combination of clinical examination, imaging studies, and laboratory tests. The healthcare provider may perform:

Treatment Protocols: Treatment typically involves a combination of medical interventions aimed at eradicating the infection and relieving symptoms, including:

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 M00.019 a billable ICD-10 code?
Yes, M00.019 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M00.019?
Clinical documentation must specify the nature of Staphylococcal arthritis, unspecified shoulder and any associated comorbidities for accurate reporting.

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