Other instability, right shoulder. M25.311 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM M25.311 became effective on October 1, 2018. This is the American ICD-10-CM version of M25.311 - other international versions of ICD-10 M25.311 may differ.
M12.811 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Oth specific arthropathies, NEC, right shoulder. The 2018/2019 edition of ICD-10-CM M12.811 became effective on October 1, 2018.
Code 29806, Arthroscopy, shoulder, surgical; capsulorrhaphy covers both anterior and posterior capsulorrhaphy (29806, lower half and 29807, upper half). If a repair is done both anteriorly and posteriorly, it would be coded as 29806-22. 2017 AAPC article states: NCCI bundles codes 29806 and 29807, and only allows one per shoulder, per session
2018/2019 ICD-10-CM Diagnosis Code Z53.33. Arthroscopic surgical procedure converted to open procedure. Z53.33 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
ICD-10 Code for Other instability, right shoulder- M25. 311- Codify by AAPC.
33: Arthroscopic surgical procedure converted to open procedure.
ICD-10 code Z98. 890 for Other specified postprocedural states is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
ICD-10-CM Code for Other instability, left shoulder M25. 312.
The 2022 edition of ICD-10-CM M75. 101 became effective on October 1, 2021. This is the American ICD-10-CM version of M75.
Shoulder arthroscopy is surgery that uses a tiny camera called an arthroscope to examine or repair the tissues inside or around your shoulder joint. The arthroscope is inserted through a small cut (incision) in your skin.
ICD-10-CM Code for Encounter for surgical aftercare following surgery on specified body systems Z48. 81.
ICD-10 code G89. 29 for Other chronic pain is a medical classification as listed by WHO under the range - Diseases of the nervous system .
511 – Pain in Right Shoulder. Code M25. 511 is the diagnosis code used for Pain in Right Shoulder.
ICD-10 Code for Superior glenoid labrum lesion of left shoulder, initial encounter- S43. 432A- Codify by AAPC.
M25. 512 Pain in left shoulder - ICD-10-CM Diagnosis Codes.
Shoulder instability usually occurs when the lining of the shoulder joint (the capsule), ligaments or labrum become stretched, torn or detached, allowing the ball of the shoulder joint (humeral head) to move either completely or partially out of the socket.
Do not report both the open and arthroscopic codes with modifier 59 because the work was performed in the same anatomic location during the session. Coding for arthroscopic shoulder surgery is complex, and coding errors are common. Although the information in this article is not exhaustive, it’s important.
Three areas generally recognized as part of the shoulder are the: 1 Glenohumeral joint, 2 Acromioclavicular joint, and 3 Subacromial bursal space.
CPT® code 29822 Arthroscopy, shoulder, surgical; debridement, limited includes debridement of soft or hard tissue. Debridement in a single area of the shoulder is considered limited debridement. CPT® code 29823 Arthroscopy, shoulder, surgical; debridement, extensiv e includes debridement of multiple soft structures, multiple hard structures, or a combination of both.#N#Limited and extensive debridement are included in other shoulder arthroscopy procedures, even if the debridement is performed in a different area of the same shoulder than the primary procedure. There are three exceptions to this rule. Per National Correct Coding Initiative (NCCI) edit guidelines, extensive debridement (CPT® 29823) performed in a different area of the same shoulder with any of the following arthroscopic shoulder procedures may be reported separately:#N#29824 Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)#N#29827 with rotator cuff repair#N#29828 biceps tenodesis#N#Example: When an arthroscopic rotator cuff repair with debridement of the biceps tendon and debridement of the labrum is performed, you may report 29827 and 29823 because the bundling edit is removed from this code combination.#N#When an arthroscopic repair of a superior labrum anterior and posterior (SLAP) lesion is performed with debridement of the labrum and biceps tendon on the same shoulder, however, you may only report CPT® 29807 Arthroscopy, shoulder, surgical; repair of SLAP lesion. Per NCCI guidelines, the debridement (29823) is considered included in the primary procedure when performed on the same shoulder.
Shoulder Anatomy. Three areas generally recognized as part of the shoulder are the: Glenohumeral joint, Acromioclavicular joint, and. Subacromial bursal space. The Centers for Medicare & Medicaid Services (CMS), however, considers the shoulder to be a single anatomic structure.
Some arthroscopic procedures require immediate conversion to an open surgical procedure. When this happens, you may only report the open surgical procedure. However, you may append modifier 22 to the open procedure code to support the additional work performed arthroscopically.
The shoulder is a complex joint, and proper coding for shoulder procedures requires a strong foundation of knowledge in anatomy and physiology. Shoulder arthroscopy codes particularly can be confusing as the guidelines for arthroscopic shoulder surgeries have changed considerably in the last decade. Here are some essential points to understand about arthroscopic shoulder surgery coding and documentation.