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M75.51
ICD-10-CM
Right Shoulder Bursitis

Find information on right shoulder bursitis diagnosis, including clinical documentation, ICD-10 code M75.51, medical coding, treatment options, and symptoms like shoulder pain and limited range of motion. Learn about subacromial bursitis, assessment, and care for right shoulder bursitis from reliable healthcare resources. Explore causes, differential diagnosis, and effective management strategies for this common shoulder condition.

Also known as

Subacromial Bursitis
Shoulder Bursitis

Diagnosis Snapshot

Key Facts
  • Definition : Inflammation of the bursa (fluid-filled sac) in the shoulder, causing pain and limited movement.
  • Clinical Signs : Shoulder pain, tenderness, stiffness, worse with movement or pressure, sometimes radiating down the arm.
  • Common Settings : Overuse injuries, repetitive motions, trauma, rheumatoid arthritis, gout, infections.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M75.51 Coding
M75.5

Shoulder bursitis

Inflammation of bursae in the shoulder region.

M70-M79

Soft tissue disorders

Includes various disorders affecting muscles, tendons, and bursae.

M00-M99

Diseases of musculoskeletal system and connective tissue

Encompasses a wide range of musculoskeletal and connective tissue conditions.

Code-Specific Guidance

Decision Tree for

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

Is the right shoulder bursitis due to trauma?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Right Shoulder Bursitis
Rotator Cuff Tendinitis
Adhesive Capsulitis

Documentation Best Practices

Documentation Checklist
  • Document laterality: right shoulder
  • Confirm bursitis diagnosis: ICD-10 code M75.51
  • Specify bursa: subacromial, subdeltoid, etc.
  • Document symptom onset, duration, location, and character
  • Record physical exam findings: tenderness, ROM limitation

Coding and Audit Risks

Common Risks
  • Unspecified Bursitis Code

    Using unspecified codes like M70.90 without sufficient documentation specifying the exact bursa affected in the right shoulder leads to inaccurate coding and claim denials.

  • Lateral Epicondylitis Confusion

    Miscoding right shoulder bursitis as lateral epicondylitis (tennis elbow) due to similar symptoms can cause coding errors and affect data integrity.

  • Lack of Supporting Documentation

    Insufficient clinical documentation to support the diagnosis of right shoulder bursitis, such as physical exam findings or imaging results, can lead to audit scrutiny and rejected claims.

Mitigation Tips

Best Practices
  • Document laterality, symptom onset, and severity for accurate ICD-10 coding (M75.51).
  • Improve CDI with precise physical exam findings: ROM, tenderness, swelling location.
  • Correlate imaging (ultrasound/MRI) reports with clinical findings for M75.51 specificity.
  • Ensure proper HCPCS code use for injections/aspirations (e.g., 20610, J7313) per CMS.
  • Follow evidence-based guidelines for treatment and document response for compliance.

Clinical Decision Support

Checklist
  • Pain localized to lateral right shoulder
  • Limited ROM abduction external rotation
  • Palpable tenderness subacromial bursa
  • Positive Neer or HawkinsKennedy test
  • Rule out rotator cuff tear fracture

Reimbursement and Quality Metrics

Impact Summary
  • Right Shoulder Bursitis: Reimbursement and Quality Metrics Impact Summary
  • ICD-10: M75.51, M75.52, M75.81, M75.82 accurate coding crucial for optimal reimbursement.
  • Coding errors impact denials, AR days, affecting revenue cycle management and hospital finances.
  • Accurate bursitis diagnosis reporting influences quality metrics like patient outcomes and cost of care.
  • Proper documentation supports medical necessity, reducing audit risks and maximizing reimbursement.

Streamline Your Medical Coding

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

Quick Tips

Practical Coding Tips
  • Code M75.51 for right shoulder bursitis
  • Document specific bursa involved
  • Specify acute or chronic bursitis
  • Consider laterality codes
  • Link to underlying cause if known

Documentation Templates

Patient presents with complaints of right shoulder pain, consistent with right shoulder bursitis.  Symptoms include localized tenderness over the lateral aspect of the right shoulder, pain exacerbated by abduction and external rotation, and stiffness.  Onset of pain was gradual, reported as approximately two weeks ago, and is described as aching and burning, increasing with activity and relieved by rest.  Patient denies any specific injury or trauma to the area.  Physical examination reveals point tenderness over the right subacromial bursa, positive Neer and Hawkins impingement signs, and limited range of motion in abduction and external rotation compared to the left shoulder.  No crepitus or instability noted.  Differential diagnoses considered include rotator cuff tendinitis, adhesive capsulitis, and glenohumeral arthritis.  Assessment: Right shoulder bursitis (ICD-10 M75.51).  Plan: Conservative management with rest, ice, compression, and elevation (RICE therapy).  Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen recommended for pain management.  Referral to physical therapy for range of motion exercises and strengthening program.  Patient education provided on activity modification and proper posture.  Follow-up scheduled in two weeks to assess response to treatment.  If symptoms persist or worsen, consider corticosteroid injection.