2026 ICD-10-CM Diagnosis Code M25.519Pain in unspecified shoulder
ICD-10-CM Codes›M00–M99›M20-M25›M25
- Billable — Valid for Submission
- Not Chronic
M25.519 is a billable ICD-10-CM diagnosis code for pain in unspecified shoulder. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 555 through 556. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Musculoskeletal pain, not low back pain.
This medical diagnosis code is frequently used in Family Practice and Internal Medicine medical specialties to designate conditions such pain in joint.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Clavicle pain
- Danforth's sign
- Pain of acromioclavicular joint
- Pain of shoulder girdle
- Pain of shoulder region
- Referred pain
- Referred pain in shoulder from abdomen
- Scapulalgia
- Shoulder joint - painful arc
- Shoulder joint pain
- Shoulder joint painful on movement
- Tenderness of shoulder joint
- Tenderness of upper limb
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Bothered by Neck or Shoulder Pain or Discomfort|Are you bothered by neck or shoulder pain or discomfort
a question about whether an individual is or was bothered by neck or shoulder pain or discomfort.Shoulder Pain
a sensation of discomfort emanating from the muscles, tendons, joints (acromioclavicular or glenohumeral), or supporting structures between the neck and upper arm.
Patient EducationClinical
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. Each person feels pain differently, even if the reason for the pain is the same. Pain may be sharp or dull. It may be mild or severe. Pain may come and go, or it may be constant.
The full article covers:
- What is pain?
- What are the types of pain?
- What causes pain?
- How is pain diagnosed?
- What are the treatments for pain?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert M25.519 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About M25.519Overview
Is M25.519 (Pain in shoulder) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report pain in unspecified shoulder on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does M25.519 group to?
When pain in unspecified shoulder is the principal diagnosis on an inpatient stay, it groups to MS-DRG 555, 556, with relative weights from 0.8306 to 1.3218 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of M25.519?
Under the General Equivalence Mappings, pain in unspecified shoulder converts to ICD-9-CM 719.41 (joint pain-shlder). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
