ICD-10 Coding for Right Shoulder Bursitis(M75.51)
Complete ICD-10-CM coding and documentation guide for Right Shoulder Bursitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Shoulder Bursitis
M75.5-M75.59Primary Range
Bursitis of shoulder
This range includes specific codes for bursitis of the shoulder, distinguishing between right, left, and bilateral conditions.
Pain in joint
This range includes codes for joint pain, which may be used when bursitis is suspected but not confirmed.
Key Information: ICD-10 code for right shoulder bursitis
Essential facts and insights about Right Shoulder Bursitis
Primary ICD-10-CM Code for right shoulder bursitis
Decision Criteria
clinical Criteria
- Confirmed bursitis via imaging or physical exam.
documentation Criteria
- Documentation of tenderness and imaging findings.
Applicable To
- Subacromial bursitis
- Subdeltoid bursitis
Clinical Validation Requirements
- Ultrasound showing bursal thickening
- Positive Neer's sign
- Tenderness over subacromial bursa
Code-Specific Risks
- Incorrectly coding without imaging confirmation
- Omitting laterality
Coding Notes
- Ensure laterality is documented and confirmed by imaging.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pain in right shoulder
M25.511Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Shoulder Bursitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M75.51.
Impact
Clinical: Ambiguity in treatment plan., Regulatory: Non-compliance with ICD-10 requirements., Financial: Potential claim denials.
Mitigation Strategy
Always specify right or left in documentation., Use templates that prompt for laterality.
Impact
Reimbursement: Incorrect DRG assignment may reduce reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Confirm bursitis with imaging before coding.
Impact
Lack of imaging confirmation for bursitis coding.
Mitigation Strategy
Ensure imaging reports are included in the patient's file.
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 Right Shoulder Bursitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Shoulder Bursitis
Use these documentation templates to ensure complete and accurate documentation for Right Shoulder Bursitis. These templates include all required elements for proper coding and billing.
Initial Evaluation of Right Shoulder Pain
Specialty: OrthopedicsRequired Elements
- Patient history
- Physical examination findings
- Imaging results
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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