Find information on Left Shoulder Osteoarthritis diagnosis, including clinical documentation, medical coding, ICD-10 codes (M19.02), and treatment options. Learn about symptoms, diagnosis criteria, and healthcare management of left shoulder osteoarthritis. This resource provides guidance for accurate medical coding and documentation for healthcare professionals. Explore resources for managing and treating left shoulder osteoarthritis pain and improving patient outcomes.
Also known as
Osteoarthritis
Covers various forms of osteoarthritis, including shoulder.
Primary osteoarthritis
Includes primary osteoarthritis of specific sites like the shoulder.
Primary osteoarthritis, shoulder
Specifies primary osteoarthritis localized to the shoulder joint.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is it primary (idiopathic) OA?
When to use each related code
| Description |
|---|
| Left Shoulder Osteoarthritis |
| Right Shoulder Osteoarthritis |
| Glenohumeral Osteoarthritis |
Incorrectly coding the right shoulder or unspecified shoulder instead of the left, leading to inaccurate data and claims.
Using a generic osteoarthritis code without specifying the affected joint (shoulder) causing loss of clinical detail and revenue.
Failing to document and code any history of trauma contributing to the osteoarthritis, impacting severity and treatment.
Patient presents with complaints of left shoulder pain consistent with osteoarthritis. Symptoms include chronic aching, stiffness, and limited range of motion in the left shoulder joint. Onset of symptoms is gradual and reported as worsening over the past six months. Pain is exacerbated by activity and relieved by rest. Patient denies any history of acute trauma to the left shoulder. Physical examination reveals tenderness to palpation of the left glenohumeral joint, crepitus upon passive range of motion, and reduced abduction and external rotation compared to the right shoulder. Radiographic imaging of the left shoulder demonstrates joint space narrowing, osteophyte formation, and subchondral sclerosis, consistent with the diagnosis of left shoulder osteoarthritis. Differential diagnoses considered included rotator cuff tear, adhesive capsulitis, and cervical radiculopathy. Assessment: Primary diagnosis of left shoulder osteoarthritis ICD-10 code M19.01. Treatment plan includes conservative management with nonsteroidal anti-inflammatory drugs NSAIDs for pain management, physical therapy for range of motion and strengthening exercises, and patient education on activity modification. Follow-up scheduled in four weeks to assess response to treatment. Referral to orthopedics will be considered if symptoms do not improve with conservative measures.