ICD-10 Coding for Bursitis of the Right Shoulder(M75.51)
Complete ICD-10-CM coding and documentation guide for Bursitis of the Right Shoulder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bursitis of the Right Shoulder
M75.5-M75.59Primary Range
Bursitis of shoulder
This range includes codes specific to bursitis of the shoulder, with laterality distinctions.
Key Information: ICD-10 code for bursitis right shoulder
Essential facts and insights about Bursitis of the Right Shoulder
Primary ICD-10-CM Code for bursitis right shoulder
Decision Criteria
clinical Criteria
- Confirmed bursitis with imaging and physical exam findings
coding Criteria
- Laterality must be specified as right shoulder
documentation Criteria
- Include imaging results and specific physical exam findings
Applicable To
- Subacromial bursitis
- Subdeltoid bursitis
Excludes
- Septic bursitis (M71.11)
Clinical Validation Requirements
- Ultrasound or MRI confirmation of bursal inflammation
- Tenderness in the subacromial/subdeltoid region
- Limited range of motion in the shoulder
Code-Specific Risks
- Misclassification due to lack of laterality documentation
- Incorrect use without imaging confirmation
Coding Notes
- Ensure laterality is documented; use imaging results to support diagnosis.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pain in right shoulder
M25.511Differential 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 Bursitis of the Right Shoulder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M75.51.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Increases risk of non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Always check for laterality in documentation before coding., Educate staff on the importance of specific coding.
Impact
Reimbursement: May result in lower reimbursement due to use of unspecified codes., Compliance: Increases risk of audit failure due to lack of specificity., Data Quality: Leads to inaccurate data collection and reporting.
Mitigation Strategy
Always specify 'right shoulder' in the diagnosis and throughout the documentation.
Impact
Failure to document laterality can lead to incorrect coding.
Mitigation Strategy
Implement a checklist to ensure laterality is documented in all relevant sections.
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 Bursitis of the Right Shoulder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bursitis of the Right Shoulder
Use these documentation templates to ensure complete and accurate documentation for Bursitis of the Right Shoulder. These templates include all required elements for proper coding and billing.
Orthopedic evaluation of shoulder pain
Specialty: OrthopedicsRequired Elements
- Patient history of shoulder pain
- Physical exam findings
- Imaging results
- Diagnosis and treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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