Find information on Glenohumeral Osteoarthritis diagnosis, including ICD-10 codes (M19.011, M19.012), clinical documentation requirements, and healthcare provider resources. Learn about shoulder osteoarthritis symptoms, treatment options, and medical coding guidelines for accurate billing and reimbursement. Explore resources for proper diagnosis coding and documentation of Glenohumeral OA for optimal patient care and claims processing. This resource provides essential information for physicians, coders, and other healthcare professionals dealing with Glenohumeral Osteoarthritis.
Also known as
Primary Glenohumeral OA
Degenerative joint disease primarily affecting the shoulder.
Post-traumatic Glenohumeral OA
Shoulder arthritis following injury to the glenohumeral joint.
Arthrosis
Joint disease characterized by degeneration of cartilage.
Diseases of musculoskeletal system
Encompasses various disorders affecting bones, joints, and muscles.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the glenohumeral osteoarthritis primary?
Yes
Code M19.011 Primary osteoarthritis, right shoulder or M19.012 Primary osteoarthritis, left shoulder or M19.019 Primary osteoarthritis, unspecified shoulder
No
Is it post-traumatic?
When to use each related code
| Description |
|---|
| Shoulder Osteoarthritis |
| Adhesive Capsulitis |
| Rotator Cuff Tear |
Missing or incorrect laterality (right, left, bilateral) for Glenohumeral Osteoarthritis can lead to claim denials and inaccurate reporting.
Coding Glenohumeral Osteoarthritis without specifying primary/secondary, post-traumatic, or other details can impact reimbursement and data analysis.
Failing to code associated conditions like rotator cuff tears or acromioclavicular arthritis with Glenohumeral Osteoarthritis can affect quality metrics and reimbursement.
Patient presents with complaints consistent with glenohumeral osteoarthritis, including shoulder pain, stiffness, and limited range of motion. Symptoms reported include anterior shoulder pain, exacerbated by activity and relieved by rest. On physical examination, crepitus was noted with active and passive range of motion. Decreased external rotation and abduction were observed compared to the contralateral side. Patient reports difficulty with activities of daily living such as reaching overhead and sleeping on the affected side. Radiographic imaging of the affected shoulder reveals joint space narrowing, osteophyte formation, and subchondral sclerosis consistent with osteoarthritis. Differential diagnoses considered include rotator cuff tear, adhesive capsulitis, and referred pain from the cervical spine. Based on the clinical presentation, physical examination findings, and radiographic evidence, the diagnosis of primary glenohumeral osteoarthritis is confirmed. Treatment plan includes conservative management with nonsteroidal anti-inflammatory drugs (NSAIDs) for pain management, physical therapy focusing on range of motion and strengthening exercises, and patient education on activity modification. Follow-up appointment scheduled in four weeks to assess response to treatment and discuss further management options if necessary, including intra-articular corticosteroid injections or referral to orthopedics for surgical intervention such as shoulder arthroplasty. ICD-10 code M19.011 assigned for right shoulder glenohumeral osteoarthritis and CPT codes for evaluation and management services documented appropriately. Patient education provided regarding the prognosis of glenohumeral osteoarthritis and the importance of adherence to the prescribed treatment plan.