Right shoulder bursitis ICD-10 code lookup and clinical documentation tips for healthcare professionals. Learn about subacromial bursitis diagnosis, treatment, and medical coding best practices. Find information on right shoulder pain, inflammation, and bursitis of the right shoulder symptoms for accurate documentation and billing.
Also known as
Subacromial bursitis, right shoulder
Inflammation of the subacromial bursa in the right shoulder.
Other specified bursitis of shoulder
Bursitis in the shoulder area, not otherwise specified.
Other specified soft tissue disorders
Unspecified disorders affecting soft tissues like muscles, tendons, and ligaments.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the bursitis subacromial or subdeltoid?
Yes (Subacromial or Subdeltoid)
Is it calcific?
No (Other specific site)
Specify the specific site.
Unspecified
Code M75.911 - Unspecified bursitis of right shoulder
When to use each related code
| Description |
|---|
| Right shoulder bursa inflammation |
| Rotator cuff tear in right shoulder |
| Right shoulder adhesive capsulitis |
Incomplete documentation specifying right shoulder affects code selection, potentially leading to inaccurate claims.
Unspecified 'bursitis' may require further clarification for accurate coding (e.g., subacromial, subdeltoid) impacting reimbursement.
Missing documentation linking bursitis to underlying cause (e.g., trauma, overuse) may affect medical necessity reviews.
Q: What are the most effective conservative treatment options for managing subacromial bursitis in the right shoulder, specifically focusing on evidence-based modalities for pain relief and functional restoration?
A: Conservative management of right shoulder subacromial bursitis often involves a multifaceted approach prioritizing pain reduction and restoring function. Evidence-based modalities include: 1. Rest and activity modification: Initially avoiding aggravating activities can reduce inflammation. 2. Nonsteroidal anti-inflammatory drugs (NSAIDs): These can help manage pain and inflammation. 3. Physical therapy: A targeted program focusing on range of motion exercises, strengthening of the rotator cuff and scapular stabilizers, and manual therapy techniques can be highly effective. 4. Corticosteroid injections: Injections into the subacromial bursa can provide significant short-term pain relief, allowing for more effective engagement in physical therapy. Consider implementing a combination of these approaches tailored to the individual patient's needs and presentation. Explore how integrating modalities like dry needling or therapeutic ultrasound can further enhance outcomes. The choice of treatment should always be guided by clinical findings and patient preferences.
Q: How can I differentiate between right shoulder subacromial bursitis, rotator cuff tear, and adhesive capsulitis during a physical exam, considering common overlapping symptoms and utilizing specific diagnostic maneuvers?
A: Differentiating between right shoulder subacromial bursitis, rotator cuff tear, and adhesive capsulitis requires careful attention during the physical exam. While overlapping symptoms like pain and limited range of motion exist, specific diagnostic maneuvers can aid in accurate diagnosis. For bursitis, pain is often localized over the lateral aspect of the shoulder and exacerbated by abduction and external rotation. The Neer and Hawkins-Kennedy tests can be positive. Rotator cuff tears may present with weakness during abduction and external rotation, with positive findings on tests like the empty can and drop arm tests. Adhesive capsulitis is characterized by global loss of both active and passive range of motion in the shoulder. Examining for capsular patterns of restriction can be helpful. Learn more about specific orthopedic tests and consider incorporating imaging studies like ultrasound or MRI when the diagnosis remains unclear or if surgical intervention is being considered.
Patient presents with complaints of right shoulder pain consistent with subacromial bursitis. Onset of pain was gradual and has been present for approximately three weeks. Pain is described as a dull ache, worsening with overhead activities and at night. Patient denies any specific injury or trauma. Physical examination reveals tenderness to palpation over the right subacromial bursa, positive Neer and Hawkins impingement tests, and limited range of motion in abduction and external rotation. Strength testing of the right shoulder is 5/5, although painful. No crepitus or instability noted. Differential diagnosis includes rotator cuff tear, adhesive capsulitis, and cervical radiculopathy. Assessment: Right shoulder bursitis (ICD-10 M75.51). Plan: Conservative management with rest, ice, and over-the-counter NSAIDs such as ibuprofen. Patient education provided on activity modification and proper shoulder mechanics. Referral to physical therapy for range of motion exercises and strengthening. Follow-up scheduled in two weeks to assess response to treatment. If symptoms persist or worsen, consider corticosteroid injection or further imaging such as an MRI. Patient understands the plan and agrees to follow-up.