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M79.622
ICD-10-CM
Left Clavicle Pain

Find information on left clavicle pain diagnosis, including clinical documentation, medical coding (ICD-10, SNOMED CT), differential diagnosis, and common causes like fractures, dislocations, and acromioclavicular joint injuries. Learn about examination techniques, treatment options, and appropriate medical terminology for accurate healthcare records. Explore resources for physicians, coders, and other healthcare professionals related to left clavicle pain management and documentation.

Also known as

Left Collarbone Pain
Pain in Left Clavicle

Diagnosis Snapshot

Key Facts
  • Definition : Pain in the left collarbone area, often from injury, overuse, or arthritis.
  • Clinical Signs : Tenderness, swelling, bruising, limited shoulder movement, clicking or grinding sensation.
  • Common Settings : Sports injuries, falls, weightlifting, repetitive strain, osteoarthritis.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M79.622 Coding
M25.5-

Pain in joint, left shoulder

Encompasses pain specifically in the left shoulder joint.

M79.602

Pain in left shoulder region

Covers pain in the broader left shoulder area, not limited to the joint.

S42.002A

Fracture of left clavicle

If a fracture is the cause of pain, this code is more specific.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the left clavicle pain traumatic in origin?

  • Yes

    Is there a fracture?

  • No

    Is there another specific diagnosis?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Left clavicle pain
Left AC joint injury
Left sternoclavicular pain

Documentation Best Practices

Documentation Checklist
  • Left clavicle pain: Onset, duration, character.
  • Document location, radiation, and associated symptoms.
  • Palpation findings: tenderness, deformity, crepitus.
  • ROM assessment: abduction, flexion, rotation limitations.
  • Include relevant medical history and prior injuries.

Coding and Audit Risks

Common Risks
  • Unspecified Laterality

    Coding left clavicle pain without specifying laterality can lead to claim rejections. Documentation must clearly indicate "left" side.

  • Symptom Coding

    Coding pain without an underlying diagnosis risks claim denial. CDI should query physicians for root cause of left clavicle pain.

  • Trauma vs. Non-Trauma

    Distinguishing traumatic from non-traumatic left clavicle pain is crucial for accurate coding and affects reimbursement. Proper documentation is key.

Mitigation Tips

Best Practices
  • Thorough HPI: Onset, location, character, radiation for accurate ICD-10 coding.
  • Document associated symptoms for accurate CPT and HCPCS code assignment.
  • Evaluate for trauma history: Fall, direct blow. Improves E/M coding specificity.
  • Order imaging studies (X-ray, CT) based on exam findings for compliance.
  • Assess neurovascular status for comprehensive documentation and accurate diagnosis.

Clinical Decision Support

Checklist
  • Verify trauma history, mechanism of injury
  • Palpate clavicle, assess for deformity, tenderness
  • Evaluate ROM, neurovascular status of affected arm
  • Order X-ray clavicle, consider CT if fracture suspected
  • Document fracture type, location for accurate coding

Reimbursement and Quality Metrics

Impact Summary
  • Left Clavicle Pain reimbursement hinges on accurate ICD-10 coding (M75.1-, S42.0-) and CPT codes for procedures, impacting claim denial rates.
  • Coding quality for Left Clavicle Pain affects hospital Value-Based Purchasing scores and CMS reimbursement penalties.
  • Proper documentation of Left Clavicle Pain diagnosis and treatment is crucial for accurate reporting quality metrics like pain management effectiveness.
  • Physician documentation specificity for Left Clavicle Pain impacts severity scoring and accurate hospital quality reporting to CMS.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code clavicle fracture first
  • Document pain location, type
  • Consider AC joint, SC joint
  • Rule out brachial plexus
  • Check laterality: Left

Documentation Templates

Patient presents with left clavicle pain.  Onset of pain was (onset date or duration e.g., two weeks ago, gradual onset).  The patient describes the pain as (character of pain e.g., sharp, dull, aching, burning, throbbing) and localized to the (specific location e.g., medial clavicle, distal clavicle, left sternoclavicular joint, left acromioclavicular joint).  Pain is aggravated by (aggravating factors e.g., movement, palpation, lifting, overhead activities) and relieved by (relieving factors e.g., rest, ice, heat, medication).  Patient denies (negative symptoms e.g., fever, chills, numbness, tingling, radiating pain down the arm).  Patient reports (positive symptoms, if any, e.g., clicking, popping, swelling, bruising, limited range of motion).  Medical history includes (relevant medical history e.g., prior clavicle fracture, history of arthritis, osteoporosis).  Social history includes (relevant social history e.g., occupation, dominant hand, sports activities).  Physical examination reveals (objective findings e.g., tenderness to palpation over the left clavicle, crepitus, deformity, swelling, ecchymosis, limited range of motion of the left shoulder).  Neurovascular examination of the left upper extremity is intact (include specific sensory and motor testing results if performed).  Differential diagnosis includes (differential diagnoses e.g., clavicle fracture, acromioclavicular joint sprain, sternoclavicular joint sprain, osteoarthritis, distal clavicular osteolysis, thoracic outlet syndrome).  Assessment: Left clavicle pain, likely (most likely diagnosis).  Plan: (plan of care e.g., Obtain (imaging studies ordered, e.g., left clavicle x-ray, left shoulder x-ray), prescribe (medications prescribed, e.g., NSAIDs), recommend (recommendations e.g., rest, ice, physical therapy), patient education regarding (education provided e.g., activity modification, pain management strategies).  Follow-up in (duration e.g., one week, two weeks) to reassess.