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M25.519

Billable

Pain in unspecified shoulder

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

What This Code Means

Shoulder pain when it is unclear which shoulder is affected or both shoulders are involved.

Coding Tips

  • •Use this code only when laterality cannot be determined from documentation
  • •If bilateral shoulder pain is documented, consider coding both M25.511 and M25.512 instead

Code Hierarchy

└M25Other joint disorder, not elsewhere classified└M25.5Pain in joint└M25.51Pain in shoulder└M25.519Pain in unspecified shoulder
└M25.519Pain in unspecified shoulder

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