Find information on Osteoarthritis Right Shoulder diagnosis, including ICD-10-CM code M19.01. Learn about clinical documentation requirements, medical coding guidelines, and healthcare best practices for managing osteoarthritis of the right shoulder. Explore resources for accurate diagnosis coding and effective patient care related to right shoulder osteoarthritis symptoms, treatment, and prognosis.
Also known as
Osteoarthritis
Covers various forms of osteoarthritis including shoulder.
Primary osteoarthritis
Primary osteoarthritis at specified sites, relevant to shoulder.
Primary osteoarthritis right shoulder
Specifies primary osteoarthritis in the right shoulder joint.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the osteoarthritis primary?
Yes
Right shoulder involved?
No
Is it post-traumatic?
When to use each related code
| Description |
|---|
| Osteoarthritis Right Shoulder |
| Rotator Cuff Tear Right Shoulder |
| Adhesive Capsulitis Right Shoulder |
Incorrectly coding the affected shoulder (left vs. right) leading to inaccurate claims and potential denials. Use M19.011 for Right Shoulder Osteoarthritis.
Failing to capture the specific type of osteoarthritis (primary, post-traumatic, etc.) impacting reimbursement and data analysis. Ensure proper ICD-10-CM specificity.
Overlooking related diagnoses like rotator cuff tear or subacromial bursitis impacting clinical documentation integrity and appropriate severity level coding.
Patient presents with complaints of right shoulder pain consistent with osteoarthritis. Symptoms include progressively worsening pain, stiffness, and limited range of motion in the affected joint. Onset of symptoms was gradual, reported as approximately six months ago, initially exacerbated by activity and now present even at rest. Patient denies any specific injury or trauma to the right shoulder. Physical examination reveals crepitus upon movement, tenderness to palpation of the right glenohumeral joint, and reduced abduction and external rotation compared to the left shoulder. Radiographic imaging of the right shoulder demonstrates joint space narrowing, osteophyte formation, and subchondral sclerosis, confirming the diagnosis of osteoarthritis. Assessment: Right shoulder osteoarthritis. Differential diagnoses considered included rotator cuff tear, frozen shoulder (adhesive capsulitis), and acromioclavicular joint arthritis. Plan: Conservative management is recommended initially, including over-the-counter pain relievers such as ibuprofen or naproxen, physical therapy focusing on range of motion and strengthening exercises, and application of heat or cold packs. Patient education provided on activity modification and joint protection strategies. Follow-up scheduled in four weeks to assess response to treatment. If symptoms do not improve, intra-articular corticosteroid injections or referral to orthopedics for surgical intervention may be considered. ICD-10 code M19.011 Right shoulder osteoarthritis, primary.