ICD-10 Coding for Right Shoulder Impingement(M75.41)
Complete ICD-10-CM coding and documentation guide for Right Shoulder Impingement. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Shoulder Impingement
M75.4-M75.5Primary Range
Shoulder lesions including impingement and bursitis
This range includes codes for shoulder impingement and related conditions like bursitis.
Key Information: ICD-10 code for right shoulder impingement
Essential facts and insights about Right Shoulder Impingement
Primary ICD-10-CM Code for shoulder impingement right
Decision Criteria
clinical Criteria
- Presence of positive Neer and Hawkins-Kennedy tests
documentation Criteria
- Imaging evidence of subacromial narrowing
Applicable To
- Subacromial impingement syndrome
Clinical Validation Requirements
- Positive Neer and Hawkins-Kennedy tests
- Imaging showing subacromial narrowing
Code-Specific Risks
- Confusing with general shoulder pain codes
Coding Notes
- Ensure laterality is documented as 'right shoulder'.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Bursitis of right shoulder
M75.51Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Adhesive capsulitis of shoulder
M75.02Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Shoulder Impingement to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M75.41.
Impact
Clinical: May lead to incorrect treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always specify 'right' or 'left' in documentation.
Impact
Reimbursement: May lead to denied claims due to incorrect coding., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure documentation specifies impingement with clinical tests.
Impact
Using general pain codes instead of specific impingement codes.
Mitigation Strategy
Educate coders on specific documentation requirements for impingement.
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 Impingement, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Shoulder Impingement
Use these documentation templates to ensure complete and accurate documentation for Right Shoulder Impingement. These templates include all required elements for proper coding and billing.
Orthopedic evaluation for 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
Need help with ICD-10 coding for Right Shoulder Impingement? Ask your questions below.