Understanding Adhesive Capsulitis of the Right Shoulder diagnosis, also known as Frozen Shoulder or Right Shoulder Stiffness. Find information on clinical documentation, medical coding, ICD-10 codes, and treatment options for Adhesive Capsulitis. Learn about the symptoms, causes, and stages of Frozen Shoulder affecting the right shoulder. Explore resources for healthcare professionals, including diagnostic criteria and best practices for managing Right Shoulder Stiffness.
Also known as
Adhesive capsulitis of right shoulder
Frozen shoulder affecting the right shoulder joint.
Adhesive capsulitis
Frozen shoulder, restricting shoulder movement.
Soft tissue disorders
Problems affecting muscles, tendons, and ligaments.
Diseases of the musculoskeletal system and connective tissue
Conditions affecting bones, joints, and connective tissues.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the adhesive capsulitis in the right shoulder?
Yes
Is it primary (idiopathic)?
No
Do NOT code M75.01. Evaluate for alternative diagnosis.
When to use each related code
| Description |
|---|
| Right shoulder stiffness and pain, limited range of motion. |
| General shoulder pain and limited movement, not specific to adhesive capsulitis. |
| Left shoulder stiffness and pain, limited range of motion. |
Incomplete documentation of 'right' shoulder laterality may lead to incorrect coding and reimbursement issues.
Coding 'frozen shoulder' lacks specificity. Adhesive capsulitis ensures accurate severity reflection for optimal reimbursement.
Missing documentation supporting the diagnosis of adhesive capsulitis can trigger audit scrutiny and claim denials.
Q: What are the most effective evidence-based treatment options for managing adhesive capsulitis of the right shoulder in the primary care setting?
A: Managing adhesive capsulitis (frozen shoulder) in primary care requires a multimodal approach. Evidence supports conservative management as the first line of treatment, focusing on patient education, pain relief, and restoring range of motion. This includes NSAIDs or other analgesics for pain management, alongside corticosteroid injections for inflammation reduction, particularly in the early, painful 'freezing' stage. Physical therapy plays a crucial role, emphasizing gentle range-of-motion exercises and stretching to improve shoulder mobility. Explore how intra-articular corticosteroid injections can offer significant short-term pain relief and improved function in adhesive capsulitis. Consider implementing a structured home exercise program to supplement in-office physical therapy and accelerate recovery. For persistent cases not responding to conservative measures within 6-9 months, referral to a specialist for manipulation under anesthesia or arthroscopic capsular release may be necessary. Learn more about the clinical guidelines for adhesive capsulitis management.
Q: How can I differentiate adhesive capsulitis of the right shoulder from other shoulder conditions like rotator cuff tears or osteoarthritis during physical examination?
A: Differentiating adhesive capsulitis from other shoulder pathologies like rotator cuff tears or osteoarthritis requires a thorough physical exam focusing on specific findings. Adhesive capsulitis presents with global loss of both active and passive range of motion, especially external rotation, abduction, and internal rotation, with a characteristic 'capsular pattern'. In contrast, rotator cuff tears typically exhibit weakness in active abduction and external rotation with preserved passive range of motion. Osteoarthritis may cause pain with movement and crepitus, but the range of motion restriction is less pronounced than in adhesive capsulitis. Painful arc testing, where pain is elicited between 60 and 120 degrees of abduction, can be positive in both rotator cuff tears and adhesive capsulitis, but the global restriction of motion is a key distinguishing feature of the latter. Consider implementing specific tests like the Apley scratch test and the Neer impingement test to aid in differential diagnosis. Explore how imaging studies, such as X-rays and MRIs, can help rule out other conditions and confirm the diagnosis, particularly when differentiating between adhesive capsulitis and other shoulder pathologies.
Patient presents with complaints consistent with adhesive capsulitis of the right shoulder, also known as frozen shoulder or shoulder stiffness. Onset of right shoulder pain and restricted range of motion was reported as [Onset timeframe - e.g., gradual over the past three months, sudden following a fall]. Patient reports significant limitations in activities of daily living (ADLs) due to pain and stiffness, including difficulty with [Specific ADLs affected - e.g., dressing, reaching overhead, sleeping]. Physical examination reveals reduced active and passive range of motion in the right shoulder, particularly in [Specific ROM limitations - e.g., abduction, external rotation, flexion]. Palpation revealed tenderness around the [Specific location of tenderness - e.g., glenohumeral joint, anterior shoulder]. No crepitus was noted. Strength testing was limited by pain but showed no significant weakness. Differential diagnosis includes rotator cuff tear, glenohumeral arthritis, and shoulder impingement syndrome. Current symptoms do not suggest cervical radiculopathy. Diagnosis of adhesive capsulitis is based on clinical presentation, characteristic restriction in range of motion, and reported pain. Initial treatment plan includes physical therapy focused on range of motion exercises, stretching, and modalities for pain management. Patient education regarding the natural history of adhesive capsulitis and the importance of adherence to the prescribed therapy was provided. Follow-up appointment scheduled in [Follow-up timeframe - e.g., four weeks] to assess response to treatment and consider additional interventions such as corticosteroid injections if necessary. ICD-10 code M75.01 is assigned for right shoulder adhesive capsulitis.