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M19.119

Billable

Post-traumatic osteoarthritis, unspecified shoulder

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

What This Code Means

Arthritis in the shoulder that developed after a previous injury, when the specific side is not documented.

Coding Tips

  • Use only when laterality cannot be determined from the medical record
  • Query provider for clarification on which shoulder is affected to allow for more specific coding

Code Hierarchy

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