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M70.819

Billable

Other soft tissue disorders related to use, overuse and pressure, unspecified shoulder

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

What This Code Means

Soft tissue damage or inflammation of the shoulder from repetitive use, overuse, or pressure, with the specific shoulder (left or right) not identified.

Coding Tips

  • Use only when laterality cannot be determined from documentation
  • Query provider for clarification on affected shoulder to assign more specific code (M70.811 or M70.812)

Code Hierarchy

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