ICD-10 Coding for Degenerative Arthritis of the Right Clavicle(M05.4, M05.42U, M12.5)
Learn about the ICD-10 coding for degenerative arthritis of the right clavicle, including primary osteoarthritis of the acromioclavicular and sternoclavicular joints.
Complete code families applicable to Degenerative Arthritis of the Right Clavicle
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 of the right AC joint without trauma history. |
|
| M19.031 | Primary osteoarthritis, right sternoclavicular joint | Use when imaging confirms primary OA of the right SC joint. |
|
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 aboutDegenerative Arthritis of the Right Clavicle
Alternative codes to consider when ruling out similar conditions
Documentation & Coding Risks
Avoid these common issues when documenting Degenerative Arthritis of the Right Clavicle.
Not specifying the exact joint involved
Impact
Clinical: May lead to incorrect treatment plans., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential for claim denials or reduced reimbursement.
Mitigation
Always document the specific joint., Use imaging to confirm diagnosis.
Using unspecified shoulder OA code (M19.019)
Impact
Reimbursement: May lead to denials due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health data.
Mitigation
Specify AC or SC joint with M19.011 or M19.031.
Use of unspecified codes
Impact
High risk of audit if unspecified codes are used for shoulder OA.
Mitigation
Use specific codes for AC or SC joint involvement.