ICD-10 Coding for Left Shoulder Bursitis(M75.52)
Complete ICD-10-CM coding and documentation guide for Left Shoulder Bursitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Shoulder Bursitis
M75.5-M75.52Primary Range
Bursitis of shoulder
This range includes specific codes for bursitis affecting the shoulder, with laterality specified.
Pain in joint
This range includes codes for joint pain, which may be used if bursitis is not confirmed.
Key Information: ICD-10 code for left shoulder bursitis
Essential facts and insights about Left Shoulder Bursitis
Primary ICD-10-CM Code for left shoulder bursitis
Decision Criteria
clinical Criteria
- Presence of imaging-confirmed bursitis
documentation Criteria
- Documentation must specify 'bursitis' and 'left shoulder'
Applicable To
- Subacromial bursitis
- Subdeltoid bursitis
Excludes
- Infectious bursitis (B95-B97)
Clinical Validation Requirements
- Ultrasound or MRI confirmation of bursa inflammation
- Physical exam showing tenderness and limited range of motion
Code-Specific Risks
- Incorrectly coding as general shoulder pain when bursitis is confirmed.
Coding Notes
- Ensure laterality is specified and confirmed by imaging.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pain in left shoulder
M25.512Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Adhesive capsulitis of left shoulder
M75.02Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Left Shoulder Bursitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M75.52.
Impact
Clinical: Leads to ambiguity in patient records., Regulatory: Non-compliance with ICD-10 requirements., Financial: Potential for claim denials.
Mitigation Strategy
Always document the affected side., Use templates that prompt for laterality.
Impact
Reimbursement: May lead to claim denials due to lack of specificity., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use M75.52 when bursitis is confirmed by imaging.
Impact
Audits may focus on whether bursitis is confirmed and documented correctly.
Mitigation Strategy
Ensure all documentation includes imaging confirmation and specific diagnosis.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Left Shoulder Bursitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Shoulder Bursitis
Use these documentation templates to ensure complete and accurate documentation for Left Shoulder Bursitis. These templates include all required elements for proper coding and billing.
Orthopedic evaluation for shoulder pain
Specialty: OrthopedicsRequired Elements
- Patient history
- Physical examination findings
- Imaging results
- Diagnosis and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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