ICD-10 Coding for Left Upper Arm Pain(M79.622)
Complete ICD-10-CM coding and documentation guide for Left Upper Arm Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Upper Arm Pain
Key Information: ICD-10 code for left upper arm pain
Essential facts and insights about Left Upper Arm Pain
Primary ICD-10-CM Code for left upper arm pain
Decision Criteria
clinical Criteria
- Pain is localized to the upper arm without trauma.
documentation Criteria
- Documentation specifies 'upper arm' pain.
Applicable To
- Localized pain in the left upper arm
Clinical Validation Requirements
- Pain localized to the deltoid/biceps region
- No history of trauma
- Normal imaging results
Code-Specific Risks
- Incorrectly using this code for shoulder or forearm pain.
Coding Notes
- Ensure documentation specifies 'upper arm' to use M79.622.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Sprain of left shoulder joint
S43.52XDDocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Left Upper Arm Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M79.622.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Could result in coding audits., Financial: Potential for denied claims.
Mitigation Strategy
Train staff on documentation requirements., Use templates to ensure completeness.
Impact
Reimbursement: May lead to incorrect DRG assignment., Compliance: Could result in audit findings for incorrect coding., Data Quality: Affects the accuracy of clinical data.
Mitigation Strategy
Query provider to confirm the specific location of the pain.
Impact
Risk of audits due to unspecified arm pain coding.
Mitigation Strategy
Ensure documentation specifies 'upper arm'.
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 Upper Arm Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Upper Arm Pain
Use these documentation templates to ensure complete and accurate documentation for Left Upper Arm Pain. These templates include all required elements for proper coding and billing.
Chronic left upper arm pain
Specialty: Primary CareRequired Elements
- Location of pain
- Intensity and duration
- Aggravating and alleviating factors
- Physical examination findings
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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