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M25.019

Billable

Hemarthrosis, unspecified shoulder

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

What This Code Means

Blood accumulation inside the shoulder joint, but it is unclear whether it is the right or left shoulder.

Coding Tips

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

Code Hierarchy

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