ICD-10-CM Code M25.811

Other specified joint disorders, right shoulder

Version 2020 Billable Code

Valid for Submission

M25.811 is a billable code used to specify a medical diagnosis of other specified joint disorders, right shoulder. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code M25.811 might also be used to specify conditions or terms like bilateral arthropathy of joint of shoulder regions, bilateral rotator cuff arthropathy of shoulder, mass of joint of right shoulder, rotator cuff arthropathy of left shoulder, rotator cuff arthropathy of right shoulder, rotator cuff arthropathy of right shoulder, etc

ICD-10:M25.811
Short Description:Other specified joint disorders, right shoulder
Long Description:Other specified joint disorders, right shoulder

Synonyms

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

  • Bilateral arthropathy of joint of shoulder regions
  • Bilateral rotator cuff arthropathy of shoulder
  • Mass of joint of right shoulder
  • Rotator cuff arthropathy of left shoulder
  • Rotator cuff arthropathy of right shoulder
  • Rotator cuff arthropathy of right shoulder

Diagnostic Related Groups

The ICD-10 code M25.811 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 M25.811 to ICD-9

  • 719.81 - Joint dis NEC-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


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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