ICD-10 Code M25.511: Pain in right shoulder
Diseases of the musculoskeletal system
ICD-10 code M25.511 identifies pain localized to the right shoulder joint.
Coding guidance
Part of the M25.51 subcategory specifying shoulder pain by laterality: right (M25.511), left (M25.512) and unspecified (M25.519).
Should be replaced with a definitive diagnosis such as rotator cuff tear when established.
Commonly supports imaging and physical therapy medical necessity.
Documentation and specificity notes
- Document laterality explicitly: a very common source of coding error.
- Replace with a definitive diagnosis once imaging or examination establishes one.
- Supports therapy and imaging authorization.
Related codes
This page provides a general summary for educational purposes and is not a substitute for the official ICD-10-CM code set, the ICD-10-CM Official Guidelines for Coding and Reporting, or payer policy. Code sets are updated annually, verify against the current official release before billing.
FAQ
ICD-10 M25.511, frequently asked questions questions
- What is ICD-10 code M25.511?
- ICD-10 code M25.511 identifies pain localized to the right shoulder joint.
- Is M25.511 a billable ICD-10 code?
- Yes. M25.511 is a billable and specific ICD-10-CM code that may be used to indicate a diagnosis for reimbursement purposes, provided documentation supports it.
- What documentation supports M25.511?
- Document laterality explicitly: a very common source of coding error. Replace with a definitive diagnosis once imaging or examination establishes one. Supports therapy and imaging authorization.
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