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
Related ICD-10 Codes
Consider these related codes based on patient presentation:
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Code
M25.511
Category
Diseases of the musculoskeletal system and connective tissue
Billable Status
Billable
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