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M19.012

Billable

Primary osteoarthritis, left 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 left shoulder joint, occurring without a prior injury or underlying condition.

Coding Tips

  • Confirm left shoulder is specifically documented; do not assume laterality
  • This code is for primary OA only; secondary causes require different coding

Code Hierarchy

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