ICD-10 Coding for Clavicle Pain(G89.18O, M25.51, M25.511)
Learn about ICD-10 coding for clavicle pain, including documentation requirements and common coding pitfalls.
Complete code families applicable to Clavicle Pain
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M25.511 | Pain in right shoulder | Use when the pain is generalized to the right shoulder without specific clavicle injury. |
|
| S42.022A | Displaced fracture of shaft of right clavicle, initial encounter | Use for initial encounter of a displaced midshaft clavicle fracture. |
|
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 aboutClavicle Pain
Alternative codes to consider when ruling out similar conditions
Documentation & Coding Risks
Avoid these common issues when documenting Clavicle Pain.
Failure to document laterality of clavicle pain.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation
Always specify right or left in documentation.
Using general shoulder pain codes for clavicle-specific injuries.
Impact
Reimbursement: Potential claim denials due to incorrect coding., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation
Use clavicle-specific codes when the injury is localized to the clavicle.
Incorrect coding of clavicle pain as shoulder pain.
Impact
Audits may target misclassification of clavicle injuries.
Mitigation
Ensure detailed documentation of pain location and etiology.