2026 ICD-10-CM Diagnosis Code M25.819Other specified joint disorders, unspecified shoulder

ICD-10-CM CodesM00–M99M20-M25M25

ICD-10-CM M25.819
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

M25.819 is a billable ICD-10-CM diagnosis code for other specified joint disorders, 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 Other specified joint disorders.

Code Identity

ICD-10-CM Code
M25.819
Billable Status
Yes — Valid for Submission
Code Describes
Other specified joint disorders, unspecified shoulder
Short Description
Other specified joint disorders, unspecified shoulder
Same as the full description in the CMS dataset.
Parent Code
Other specified joint disorders, shoulder

Code Classification

ChapterM00–M99Diseases of the musculoskeletal system and connective tissue
SectionM20-M25Other joint disorders
CategoryM25Other joint disorder, not elsewhere classified
This CodeM25.819Other specified joint disorders, unspecified shoulder

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Active range of shoulder abduction - finding
  • Active range of shoulder adduction - finding
  • Active range of shoulder extension - finding
  • Active range of shoulder external rotation - finding
  • Active range of shoulder flexion - finding
  • Active range of shoulder internal rotation - finding
  • Angular projection of acromion process
  • Bony swelling of shoulder
  • Decreased active range of shoulder abduction
  • Decreased active range of shoulder adduction
  • Decreased active range of shoulder extension
  • Decreased active range of shoulder external rotation
  • Decreased active range of shoulder internal rotation
  • Decreased passive range of shoulder abduction
  • Decreased passive range of shoulder adduction
  • Decreased passive range of shoulder extension
  • Decreased passive range of shoulder flexion
  • Decreased passive range of shoulder internal rotation
  • Disorder of bursa of shoulder region
  • Disorder of shoulder
  • Forward protrusion of head of humerus
  • Hypertrophy of muscle of shoulder joint
  • Joint cold
  • Joint cool
  • Joint hot
  • Joint warm
  • No active range of shoulder abduction
  • No active range of shoulder adduction
  • No active range of shoulder extension
  • No active range of shoulder flexion
  • No active range of shoulder internal rotation
  • No passive range of shoulder abduction
  • No passive range of shoulder adduction
  • No passive range of shoulder extension
  • No passive range of shoulder flexion
  • No passive range of shoulder internal rotation
  • Passive range of shoulder abduction - finding
  • Passive range of shoulder adduction - finding
  • Passive range of shoulder extension - finding
  • Passive range of shoulder flexion - finding
  • Passive range of shoulder internal rotation - finding
  • Problem of shoulder
  • Problem of upper limb
  • Range of shoulder abduction - finding
  • Range of shoulder adduction - finding
  • Shoulder joint - cold
  • Shoulder joint - cool
  • Shoulder joint - hot
  • Shoulder joint - warm
  • Shoulder joint color - finding
  • Shoulder joint red
  • Shoulder joint temperature finding

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MUS007
Other specified joint disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert M25.819 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
719.81 Joint dis NEC-shlder
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About M25.819Overview

Is M25.819 (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, unspecified shoulder on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does M25.819 group to?

When other specified joint disorders, 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 M25.819?

Under the General Equivalence Mappings, other specified joint disorders, unspecified 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.