Shoulder Pain ICD-10-CM Codes

What ICD-10 Codes are Used for Shoulder Pain?

Shoulder pain is a common complaint that can arise from various underlying conditions, ranging from overuse and strain to more complex structural problems. To accurately diagnose, treat, and bill for these conditions, medical professionals rely on specific ICD-10 codes, which provide a standardized way to classify the exact nature of the shoulder pain.

• M25.51: Pain in the right shoulder. This code is used to signify pain located in the right shoulder.

• M25.52: Pain in the left shoulder. This code indicates pain located in the left shoulder.

• M25.50: Pain in the unspecified shoulder. This code is used when the specific shoulder affected by pain is not identified.

• M75.9: Unspecified shoulder lesion. This code could be used when the underlying cause of the shoulder pain is unknown.

• G56.0: Carpal tunnel syndrome. Though primarily a wrist condition, this can sometimes manifest with shoulder pain.

• M75.00: Adhesive capsulitis of unspecified shoulder. Also known as a "frozen shoulder," this can lead to significant pain in the shoulder region.

Which Shoulder Pain ICD codes are Billable?

• M25.51: Yes
• M25.52: Yes
• M25.50: Yes
• M75.9: Yes
• G56.0: Yes
• M75.00: Yes

Clinical Information

• Shoulder pain can be acute or chronic and may arise from various causes.
• Common causes include rotator cuff injuries, arthritis, fractures, or overuse.
• Diagnosis often requires a physical examination, X-rays, MRI, or ultrasound.
• Treatment may involve rest, physical therapy, pain relievers, or surgery, depending on the cause.

Synonyms Include:

• Pain in the shoulder joint
• Shoulder ache
• Shoulder discomfort
• Rotator cuff pain
• Upper arm pain