ICD-10 Coding for Frozen Shoulder(M19.011, M19.012, M19.019)
Learn about ICD-10 coding for shoulder adhesive capsulitis, including specific codes for right and left shoulders, documentation requirements, and common pitfalls.
Complete code families applicable to Frozen Shoulder
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M75.01 | Adhesive capsulitis of right shoulder | Use when adhesive capsulitis is confirmed in the right shoulder with clinical and imaging evidence. |
|
| M75.02 | Adhesive capsulitis of left shoulder | Use when adhesive capsulitis is confirmed in the left shoulder with clinical and imaging evidence. |
|
| M75.00 | Adhesive capsulitis of unspecified shoulder | Use only if laterality cannot be determined after thorough evaluation. |
|
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 aboutFrozen Shoulder
Alternative codes to consider when ruling out similar conditions
Documentation & Coding Risks
Avoid these common issues when documenting Frozen Shoulder.
Failing to document the specific shoulder affected.
Impact
Clinical: Inaccurate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation
Always verify and document the affected side., Use templates that prompt for laterality.
Using unspecified code M75.00 when laterality is known.
Impact
Reimbursement: Potential denials or reduced reimbursement., Compliance: Increased audit risk., Data Quality: Decreased accuracy in clinical data.
Mitigation
Always document and code the specific side affected.
Unspecified laterality
Impact
High audit risk when using M75.00 due to unspecified laterality.
Mitigation
Document specific shoulder involvement and use laterality-specific codes.