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M25.212

Billable

Flail joint, left shoulder

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

What This Code Means

A condition where the left shoulder joint is unstable and moves excessively in multiple directions, causing the arm to feel loose or uncontrolled.

Coding Tips

  • Verify laterality is documented as 'left' in the medical record before assigning this code
  • Flail joint indicates severe instability; ensure this is distinguished from simple dislocation or subluxation

Code Hierarchy

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