ICD-10 Coding for Left Shoulder Tendinitis(M75.22)
Complete ICD-10-CM coding and documentation guide for Left Shoulder Tendinitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Shoulder Tendinitis
M75.2-M75.5Primary Range
Disorders of bursae and tendons in shoulder region
Includes specific codes for tendinitis and related conditions affecting the shoulder.
Key Information: ICD-10 code for left shoulder tendinitis
Essential facts and insights about Left Shoulder Tendinitis
Primary ICD-10-CM Code for left shoulder tendinitis
Decision Criteria
clinical Criteria
- Confirmed inflammation of the biceps tendon via imaging and physical exam.
documentation Criteria
- Documentation must include laterality and specific tendon involved.
Applicable To
- Inflammation of the biceps tendon in the left shoulder
Clinical Validation Requirements
- MRI showing biceps tendon inflammation
- Positive Speed's test
- Tenderness over bicipital groove
Code-Specific Risks
- Incorrectly coding as general shoulder pain (M25.512)
- Omitting laterality
Coding Notes
- Ensure documentation specifies 'bicipital tendinitis' and laterality.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Tendinitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M75.22.
Impact
Clinical: May lead to incorrect treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always include laterality in diagnosis., Use templates that prompt for laterality.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Use M75.22 when bicipital tendinitis is diagnosed.
Impact
Audits may target non-specific coding of shoulder conditions.
Mitigation Strategy
Ensure detailed documentation and correct code selection.
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 Tendinitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Shoulder Tendinitis
Use these documentation templates to ensure complete and accurate documentation for Left Shoulder Tendinitis. 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
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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