ICD-10 Coding for Acromioclavicular Joint Osteoarthritis(M19.01, M19.011, M19.011B)

Learn about the ICD-10 coding for acromioclavicular joint osteoarthritis, including documentation requirements and common coding pitfalls.

Also known as:
AC Joint OsteoarthritisACJ Arthritis
Related ICD-10 Code Ranges

Complete code families applicable to Acromioclavicular Joint Osteoarthritis

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescription
M19.011Primary osteoarthritis, right shoulder
M19.012Primary osteoarthritis, left shoulder
M19.111Post-traumatic osteoarthritis, right shoulder

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information

Essential facts and insights aboutAcromioclavicular Joint Osteoarthritis

Differential Codes

Alternative codes to consider when ruling out similar conditions

Rotator cuff tearM75.1

Use only if a rotator cuff tear is confirmed by imaging.

Primary osteoarthritis, right shoulderM19.011

Documentation & Coding Risks

Avoid these common issues when documenting Acromioclavicular Joint Osteoarthritis.

Failing to document trauma history for post-traumatic osteoarthritis.

Impact

Clinical: May lead to incorrect treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or audits.

Mitigation

Review patient history for prior injuries., Document any relevant trauma events.

Using unspecified codes when laterality is documented.

Impact

Reimbursement: May result in denied claims or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.

Mitigation

Always specify laterality (right or left) in documentation to use the correct code.

Laterality documentation

Impact

Missing laterality can lead to coding errors.

Mitigation

Implement checklist for documentation review.

Frequently Asked Questions