Find information on left shoulder mild degenerative joint disease including clinical documentation, ICD-10 codes (M19.012), medical coding, diagnosis, treatment, and osteoarthritis of the shoulder. Learn about symptoms, pain management, and resources for healthcare professionals related to left shoulder degenerative joint disease.
Also known as
Primary OA, shoulder
Degenerative joint disease of the shoulder, not elsewhere classified.
Arthrosis
Joint degeneration including osteoarthritis and related disorders.
Diseases of musculoskeletal system and connective tissue
Encompasses various disorders affecting bones, joints, muscles, and connective tissues.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the DJD primary (not due to trauma)?
Yes
Acromioclavicular joint?
No
Post-traumatic?
When to use each related code
| Description |
|---|
| Left Shoulder Mild DJD |
| Left Shoulder Moderate DJD |
| Left Shoulder AC Joint OA |
Coding lacks specificity for left shoulder, potentially leading to incorrect reimbursement or data analysis. Medical coding, CDI, healthcare compliance, laterality.
Mild severity not accurately coded, impacting quality reporting and resource allocation. Medical coding, ICD-10, severity, healthcare compliance.
Diagnosis lacks supporting clinical documentation, posing compliance risk for audits. Medical coding, CDI, documentation, healthcare compliance, audit risk.
Patient presents with complaints of intermittent left shoulder pain, consistent with mild degenerative joint disease (DJD). Onset of symptoms was gradual, reported approximately six months ago, and is characterized by aching and stiffness, particularly in the morning or after periods of inactivity. Pain is exacerbated by overhead activities and lifting, and occasionally disturbs sleep. Patient denies any specific injury or trauma to the left shoulder. Physical examination reveals mild tenderness to palpation over the left glenohumeral joint, with crepitus noted on active and passive range of motion. Strength is 5/5 throughout the left upper extremity. No significant swelling or erythema is present. Rotator cuff impingement tests are negative. Radiographic imaging of the left shoulder demonstrates mild osteophyte formation and joint space narrowing, consistent with the diagnosis of osteoarthritis. Differential diagnoses considered include rotator cuff tendinitis, adhesive capsulitis, and cervical radiculopathy. Assessment: Left shoulder mild degenerative joint disease (ICD-10: M19.012). Plan: Conservative management is recommended, including over-the-counter analgesics such as ibuprofen for pain relief, and a home exercise program focusing on range of motion and strengthening of the shoulder girdle musculature. Patient education provided regarding activity modification and proper body mechanics. Follow-up scheduled in six weeks to assess response to treatment. Referral to physical therapy will be considered if symptoms do not improve with conservative measures.