ICD-10 Coding for Right Clavicle Pain(M25.511, M25.511B, M25.511P)
Learn about ICD-10 coding for right clavicle pain, including specific codes, documentation requirements, and common pitfalls.
Complete code families applicable to Right Clavicle Pain
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S42.021A | Displaced fracture of shaft of right clavicle, initial encounter | Use when there is a confirmed displaced fracture of the right clavicle shaft. |
|
| M25.511 | Pain in right shoulder | Use when pain is present without a confirmed 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 aboutRight Clavicle Pain
Alternative codes to consider when ruling out similar conditions
Documentation & Coding Risks
Avoid these common issues when documenting Right Clavicle Pain.
Omitting laterality in documentation
Impact
Clinical: May lead to incorrect treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation
Always document the side of the body affected., Use templates that prompt for laterality.
Using unspecified codes like S42.001A
Impact
Reimbursement: Specific codes may lead to higher reimbursement rates., Compliance: Improves compliance with coding guidelines., Data Quality: Enhances data accuracy for clinical records.
Mitigation
Use specific codes like S42.021A for better specificity.
Specificity of Fracture Codes
Impact
Using unspecified codes increases audit risk.
Mitigation
Ensure documentation supports specific code selection.