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M89.012

Billable

Algoneurodystrophy, left shoulder

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

What This Code Means

Complex regional pain syndrome affecting the left shoulder, causing pain, swelling, and functional impairment in that shoulder.

Coding Tips

  • Verify left shoulder is the correct side before coding; confirm with imaging or clinical documentation
  • This code is distinct from M89.011 (right shoulder) and M89.019 (unspecified shoulder)

Code Hierarchy

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