ICD-10 Coding for Glenohumeral Joint Arthritis(M19.01, M19.012, M19.012B)
Learn about ICD-10 coding for glenohumeral joint arthritis, including primary and secondary osteoarthritis codes, documentation requirements, and common pitfalls.
Complete code families applicable to Glenohumeral Joint Arthritis
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M19.012 | Primary osteoarthritis, left shoulder | Use when primary osteoarthritis is confirmed in the left shoulder without any underlying trauma or surgery. |
|
| M19.211 | Post-traumatic osteoarthritis, right shoulder | Use when osteoarthritis is secondary to a previous injury or surgery in the 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 aboutGlenohumeral Joint Arthritis
Alternative codes to consider when ruling out similar conditions
Documentation & Coding Risks
Avoid these common issues when documenting Glenohumeral Joint Arthritis.
Failing to document the type of osteoarthritis
Impact
Clinical: May lead to inappropriate treatment plans, Regulatory: Increases risk of non-compliance with coding standards, Financial: Potential for denied claims due to unspecified coding
Mitigation
Use structured templates for documentation, Regular training on documentation standards
Using unspecified codes when specific codes are available
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity, Compliance: Increases risk of audit failures, Data Quality: Decreases accuracy of clinical data
Mitigation
Document laterality and type of osteoarthritis to use specific codes like M19.012 or M19.211.
Unspecified coding
Impact
Using unspecified codes can trigger audits due to lack of specificity.
Mitigation
Ensure all clinical documentation specifies laterality and type of osteoarthritis.