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M89.711

Billable

Major osseous defect, right shoulder region

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

What This Code Means

A significant loss or defect in bone structure affecting the right shoulder region, which may impact shoulder function and stability.

Coding Tips

  • Specify laterality (right) in documentation; if the defect involves multiple shoulder structures, consider if additional codes are needed for clarity.
  • Document the etiology (post-traumatic, post-surgical, or pathological) to provide complete clinical context for treatment decisions.

Code Hierarchy

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