What does ICD-10-CM code M25.511 mean?
M25.511 represents Pain in right shoulder. This musculoskeletal condition falls under Chapter 13 (Diseases of the Musculoskeletal System) and is among the most common reasons for outpatient visits. Coders frequently reference this code as icd 10 pain in right shoulder, pain in right shoulder icd 10, or pain in right shoulder.
Code category and hierarchy
- Chapter: 13 – Diseases of the Musculoskeletal System (M00-M99)
- Category: M25
- Code: M25.511 – Pain in right shoulder
Guideline notes and coding considerations
Important Guideline Note
Assign M25.511 only when documentation clearly supports this diagnosis. Review the excludes notes and ensure no conflicts with other assigned codes.
- Specificity: Assign M25.511 only when documentation supports this specific diagnosis.
Learn the underlying rules in the ICD-10 Coding Guidelines, Laterality Coding Rules.
Documentation tips (what coders should confirm)
- Verify the clinical documentation supports the use of M25.511
Validate M25.511 Against ICD 10 CM Coding Guidelines
Check this code against official guidelines for conflicts and compliance issues.
Related ICD-10 codes
Frequently Asked Questions
The ICD-10-CM code for icd 10 pain in right shoulder is M25.511, which represents pain in right shoulder. This code is also commonly referenced as pain in right shoulder icd 10, pain in right shoulder. Verify this code using the ICD Code Auditor to ensure guideline compliance.
Yes. M25.511 is an active ICD-10-CM diagnosis code used to classify pain in right shoulder for clinical documentation, reporting, and medical billing purposes.
Use the ICD Code Auditor to check M25.511 against official ICD-10-CM coding guidelines. The tool validates by fiscal year and patient gender to identify potential conflicts.
Documentation should clearly describe the clinical condition represented by M25.511 (Pain in right shoulder). Include relevant clinical findings, diagnostic test results, provider assessment, and the treatment plan. The diagnosis must be supported by the medical record and not based solely on lab results without clinical interpretation.
Sources
Reviewed by: Certified ICD-10 Coding & Risk Adjustment Specialist
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