ICD-10-CM Code M25.511

Pain in right shoulder

Version 2020 Billable Code Family Practice Internal Medicine

Valid for Submission

M25.511 is a billable code used to specify a medical diagnosis of pain in right shoulder. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code M25.511 might also be used to specify conditions or terms like acromioclavicular joint pain, acromioclavicular joint pain, bilateral acromioclavicular joint pain, bilateral pain of shoulder blades, bilateral shoulder joint pain, pain of left acromioclavicular joint, etc

The code is commonly used in family practice, internal medicine medical specialties to specify clinical concepts such as pain in joint.

ICD-10:M25.511
Short Description:Pain in right shoulder
Long Description:Pain in right shoulder

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Acromioclavicular joint pain
  • Acromioclavicular joint pain
  • Bilateral acromioclavicular joint pain
  • Bilateral pain of shoulder blades
  • Bilateral shoulder joint pain
  • Pain of left acromioclavicular joint
  • Pain of left shoulder blade
  • Pain of right acromioclavicular joint
  • Pain of right acromioclavicular joint
  • Pain of right shoulder blade
  • Pain of right shoulder blade
  • Pain of right shoulder joint
  • Pain of right sternoclavicular joint
  • Pain radiating to right shoulder
  • Scapulalgia
  • Scapulalgia
  • Shoulder joint pain
  • Shoulder joint pain
  • Sternoclavicular joint pain

Diagnostic Related Groups

The ICD-10 code M25.511 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 555 - SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
  • 556 - SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC

Convert M25.511 to ICD-9

  • 719.41 - Joint pain-shlder (Approximate Flag)

Code Classification

  • Diseases of the musculoskeletal system and connective tissue (M00–M99)
    • Other joint disorders (M20-M25)
      • Other joint disorder, not elsewhere classified (M25)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Pain

Pain is a signal in your nervous system that something may be wrong. It is an unpleasant feeling, such as a prick, tingle, sting, burn, or ache. Pain may be sharp or dull. It may come and go, or it may be constant. You may feel pain in one area of your body, such as your back, abdomen, chest, pelvis, or you may feel pain all over.

Pain can be helpful in diagnosing a problem. If you never felt pain, you might seriously hurt yourself without knowing it, or you might not realize you have a medical problem that needs treatment.

There are two types of pain: acute and chronic. Acute pain usually comes on suddenly, because of a disease, injury, or inflammation. It can often be diagnosed and treated. It usually goes away, though sometimes it can turn into chronic pain. Chronic pain lasts for a long time, and can cause severe problems.

Pain is not always curable, but there are many ways to treat it. Treatment depends on the cause and type of pain. There are drug treatments, including pain relievers. There are also non-drug treatments, such as acupuncture, physical therapy, and sometimes surgery.

NIH: National Institute of Neurological Disorders and Stroke


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Shoulder Injuries and Disorders

Your shoulder joint is composed of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone). Your shoulders are the most movable joints in your body. They can also be unstable because the ball of the upper arm is larger than the shoulder socket that holds it. To remain in a stable or normal position, the shoulder must be anchored by muscles, tendons, and ligaments.

Because your shoulder can be unstable, it can be easily injured. Common problems include

  • Sprains and strains
  • Dislocations
  • Separations
  • Tendinitis
  • Bursitis
  • Torn rotator cuffs
  • Frozen shoulder
  • Fractures
  • Arthritis

Health care providers diagnose shoulder problems by using your medical history, a physical exam, and imaging tests.

Often, the first treatment for shoulder problems is RICE. This stands for Rest, Ice, Compression, and Elevation. Other treatments include exercise and medicines to reduce pain and swelling. If those don't work, you may need surgery.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases


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