ICD-10 Coding for Arthritis of the Shoulder(M19.011, M19.011B, M19.011P)
Learn about ICD-10 codes for arthritis of the shoulder, including primary and post-traumatic osteoarthritis. Ensure accurate coding with our comprehensive guide.
Complete code families applicable to Arthritis of the Shoulder
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M19.011 | Primary osteoarthritis, right shoulder | Use when imaging confirms primary OA in the right shoulder without trauma history. |
|
| M19.012 | Primary osteoarthritis, left shoulder | Use when imaging confirms primary OA in the left shoulder without trauma history. |
|
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 aboutArthritis of the Shoulder
Alternative codes to consider when ruling out similar conditions
Documentation & Coding Risks
Avoid these common issues when documenting Arthritis of the Shoulder.
Not specifying the type of arthritis
Impact
Clinical: Leads to incorrect treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation
Always document the specific type of arthritis.
Using a single code for bilateral shoulder osteoarthritis
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation
Assign separate codes for each shoulder, e.g., M19.011 and M19.012.
Laterality documentation
Impact
Failure to document laterality can lead to coding errors.
Mitigation
Use templates that prompt for laterality.