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M25.819

Billable

Other specified joint disorders, unspecified shoulder

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

What This Code Means

A joint disorder of the shoulder (side not specified) that doesn't fit into other specific categories, such as joint instability, stiffness, or other abnormal joint function.

Coding Tips

  • Only use this code when the shoulder laterality cannot be determined from documentation
  • Query the provider if laterality is not documented, as more specific codes are preferred

Code Hierarchy

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