ICD-10 Coding for Left Shoulder Mild Degenerative Joint Disease(M19.012)
Complete ICD-10-CM coding and documentation guide for Left Shoulder Mild Degenerative Joint Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Shoulder Mild Degenerative Joint Disease
M15-M19Primary Range
Osteoarthritis
This range includes codes for various forms of osteoarthritis, including primary osteoarthritis of the shoulder.
Key Information: ICD-10 code for left shoulder mild degenerative joint disease
Essential facts and insights about Left Shoulder Mild Degenerative Joint Disease
Primary ICD-10-CM Code for left shoulder mild degenerative joint disease
Decision Criteria
clinical Criteria
- Radiographic evidence of osteoarthritis
documentation Criteria
- Documentation of chronic pain and stiffness
Applicable To
- Primary osteoarthritis of the left shoulder
Clinical Validation Requirements
- Radiographic evidence of joint space narrowing
- Presence of osteophytes
- Chronic pain and stiffness
Code-Specific Risks
- Misclassification if imaging does not confirm osteoarthritis
- Incorrect use if laterality is not specified
Coding Notes
- Ensure documentation specifies 'primary' osteoarthritis and includes imaging findings.
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.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Left Shoulder Mild Degenerative Joint Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M19.012.
Impact
Clinical: Leads to incomplete clinical picture., Regulatory: Non-compliance with ICD-10 specificity requirements., Financial: Potential claim denials due to unspecified coding.
Mitigation Strategy
Always specify left or right shoulder in documentation., Use specific ICD-10 codes for laterality.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Always specify laterality to use M19.012 for the left shoulder.
Impact
Failure to specify laterality can lead to audit flags.
Mitigation Strategy
Implement mandatory fields for laterality in EHR systems.
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 Mild Degenerative Joint Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Shoulder Mild Degenerative Joint Disease
Use these documentation templates to ensure complete and accurate documentation for Left Shoulder Mild Degenerative Joint Disease. These templates include all required elements for proper coding and billing.
Orthopedic Progress Note
Specialty: OrthopedicsRequired Elements
- Subjective complaints
- Objective findings
- Assessment with specific code
- Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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