ICD-10 Coding for Osteoarthritis of Left Shoulder(M19.0, M19.012, M19.012B)

Learn about the ICD-10 code M19.012 for primary osteoarthritis of the left shoulder, including documentation requirements and coding tips.

Also known as:
Degenerative Joint Disease of Left ShoulderLeft Shoulder OA
Related ICD-10 Code Ranges

Complete code families applicable to Osteoarthritis of Left Shoulder

Key Information

Essential facts and insights aboutOsteoarthritis of Left Shoulder

Differential Codes

Alternative codes to consider when ruling out similar conditions

Post-traumatic osteoarthritis, left shoulderM19.112
Traumatic arthropathy, left shoulderM19.212

Documentation & Coding Risks

Avoid these common issues when documenting Osteoarthritis of Left Shoulder.

Documenting 'shoulder OA' without specifying left or right.

Impact

Clinical: May lead to incorrect treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims due to unspecified coding.

Mitigation

Always specify laterality in documentation., Use templates that prompt for specific details.

Using M19.012 for post-surgical osteoarthritis

Impact

Reimbursement: Incorrect coding may lead to denied claims or incorrect DRG assignment., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data and statistics.

Mitigation

Use M19.112 if the osteoarthritis is post-traumatic.

Use of unspecified codes

Impact

Unspecified codes can lead to audit flags and reimbursement issues.

Mitigation

Ensure documentation specifies laterality and type of osteoarthritis.

Frequently Asked Questions