ICD-10 Code M25.812

Other specified joint disorders, left shoulder

Version 2019 Billable Code

Valid for Submission

M25.812 is a billable code used to specify a medical diagnosis of other specified joint disorders, left shoulder. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

ICD-10: M25.812
Short Description:Other specified joint disorders, left shoulder
Long Description:Other specified joint disorders, left shoulder

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 mandated 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

Information for Medical Professionals

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). The diagnosis code M25.812 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 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 M25.812 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 719.81 - Joint dis NEC-shlder (Approximate Flag)

Synonyms

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

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

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

  • Brachial plexopathy (Medical Encyclopedia)
  • Broken collarbone - aftercare (Medical Encyclopedia)
  • Frozen shoulder (Medical Encyclopedia)
  • Frozen shoulder - aftercare (Medical Encyclopedia)
  • Shoulder arthroscopy (Medical Encyclopedia)
  • Shoulder CT scan (Medical Encyclopedia)
  • Shoulder MRI scan (Medical Encyclopedia)
  • Shoulder pain (Medical Encyclopedia)
  • Using your shoulder after surgery (Medical Encyclopedia)

[Learn More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.