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M25.412

Billable

Effusion, left shoulder

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

What This Code Means

Fluid accumulation in the left shoulder joint, which may cause swelling, stiffness, and reduced range of motion.

Coding Tips

  • •Verify laterality is documented as left shoulder in the clinical record
  • •Document the cause of effusion if known (post-traumatic, inflammatory, etc.) for complete clinical picture

Code Hierarchy

└M25Other joint disorder, not elsewhere classified└M25.4Effusion of joint└M25.41Effusion, shoulder└M25.412Effusion, left shoulder
└M25.412Effusion, left shoulder

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