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M19.011

Billable

Primary osteoarthritis, right shoulder

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Wear and tear arthritis of the right shoulder joint, occurring without a prior injury or underlying condition.

Coding Tips

  • •Verify laterality is documented as right shoulder in the clinical record before assigning this code
  • •Distinguish from secondary osteoarthritis (M19.1x) which follows trauma or other joint disease

Code Hierarchy

└M19Other and unspecified osteoarthritis└M19.0Primary osteoarthritis of other joints└M19.01Primary osteoarthritis, shoulder└M19.011Primary osteoarthritis, right shoulder
└M19.011Primary osteoarthritis, right shoulder

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