ICD-10 Coding for Right Shoulder Tendinitis(M25.511, M25.511U, M67.813)
Learn about ICD-10 coding for right shoulder tendinitis, including specific codes for bicipital and calcific tendinitis, documentation requirements, and clinical validation.
Complete code families applicable to Right Shoulder Tendinitis
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M75.51 | Bicipital tendinitis, right shoulder | Use when there is documented inflammation of the biceps tendon with clinical confirmation. |
|
| M75.31 | Calcific tendinitis, right shoulder | Use when imaging confirms calcific deposits in shoulder tendons. |
|
| M67.813 | Other specified disorders of tendon, right shoulder | Use when tendinitis is documented but not specified as bicipital or calcific. |
|
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 Shoulder Tendinitis
Alternative codes to consider when ruling out similar conditions
Documentation & Coding Risks
Avoid these common issues when documenting Right Shoulder Tendinitis.
Lack of specificity in tendon documentation
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Increased risk of audit issues., Financial: Potential for denied claims or reduced reimbursement.
Mitigation
Ensure detailed clinical documentation, Use imaging to confirm specific tendinitis type
Using M25.511 alone for diagnosed tendinitis
Impact
Reimbursement: Potential underpayment due to non-specific coding., Compliance: Risk of audit failure for lack of specificity., Data Quality: Decreased accuracy in clinical data reporting.
Mitigation
Append specific tendinitis code first
Confusing M75.51 (bicipital) vs. M75.31 (calcific)
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient care.
Mitigation
Specify calcium deposits in documentation
Specificity of Tendon Documentation
Impact
Audits may target lack of specificity in tendon documentation.
Mitigation
Ensure clinical notes specify the tendon involved and confirm with imaging.