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M25.219

Billable

Flail joint, unspecified 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 shoulder joint is unstable and moves excessively in multiple directions, but the specific shoulder (left or right) is not documented.

Coding Tips

  • Use this code only when laterality cannot be determined from documentation
  • Query the provider if possible to obtain specific laterality for more precise coding

Code Hierarchy

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