2026 ICD-10-CM Diagnosis Code M25.812Other specified joint disorders, left shoulder
ICD-10-CM Codes›M00–M99›M20-M25›M25
- Billable — Valid for Submission
- Not Chronic
M25.812 is a billable ICD-10-CM diagnosis code for other specified joint disorders, left 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 Other specified joint disorders.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Arthropathy of left shoulder
- Bilateral rotator cuff arthropathy of shoulder
- Mass of joint of bilateral shoulder regions
- Mass of joint of left shoulder
- Mass of joint of left shoulder region
- Mass of joint of right shoulder region
- Rotator cuff arthropathy of left shoulder
- Rotator cuff arthropathy of right shoulder
- Rotator cuff tear arthropathy
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Rotator Cuff Tear Arthropathy
rapidly destructive shoulder joint and bone disease found mainly in elderly, and predominantly in women. it is characterized by shoulder pain; joint instability; and the presence of crystalline calcium phosphates in the synovial fluid. it is associated with rotator cuff injuries.
Patient EducationClinical
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.
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Convert M25.812 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About M25.812Overview
Is M25.812 (Other specified joint disorders, shoulder) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report other specified joint disorders, left shoulder on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does M25.812 group to?
When other specified joint disorders, left 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 M25.812?
Under the General Equivalence Mappings, other specified joint disorders, left shoulder converts to ICD-9-CM 719.81 (joint dis NEC-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.
