M25.511

Pain in right shoulder

Diseases of the musculoskeletal system and connective tissue Billable
Quick Reference
Shoulder pain without identified specific diagnosis (rotator cuff, arthritis, etc.)

Clinical Information

When to Use This Code

Shoulder pain without identified specific diagnosis (rotator cuff, arthritis, etc.)

Common Clinical Scenarios

  • Acute shoulder pain after injury
  • Non-specific shoulder discomfort
  • Shoulder pain pending MRI or further workup
  • Chronic shoulder pain without clear etiology

Documentation Requirements

  • Specify laterality (right vs. left)
  • Document onset (acute vs. chronic)
  • Record range of motion limitations
  • Note if related to trauma or overuse
  • Describe location (anterior, posterior, lateral)

Coding Guidelines

Inclusion Terms

These terms are included in this code:

Right shoulder painShoulder joint painArthralgia of shoulder

Exclusion Terms

Do NOT use this code for:

  • Rotator cuff syndrome (M75.1-)
  • Shoulder osteoarthritis (M19.01-)
  • Adhesive capsulitis (M75.0-)

Coding Notes

Use M25.512 for left shoulder
Code more specifically when diagnosis confirmed (rotator cuff tear, arthritis)
Requires laterality specification

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Code Details

Code
M25.511
Category
Diseases of the musculoskeletal system and connective tissue
Billable Status
Billable

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