Shoulder/Arm

Orthopedic surgery shoulder and arm ICD-10 diagnosis codes and CPT codes.

Diagnosis	Procedure-CPT	ICD10-Right	ICD10-Left
Shoulder Pain Stiffness Sprain Effusion Contusion Artificial Joint	E/M Coding Modifiers	M25.511 Pain in right shoulder M25.611 Stiffness of right shoulder S43.491A Other sprain of right shoulder joint M25.411 Effusion, right shoulder S40.011A Contusion of right shoulder, Z96.611 Presence of right artificial shoulder joint	M25.512 Pain in left shoulder M25.612 Stiffness of left shoulder S43.492A Other sprain of left shoulder joint M25.412 Effusion, left shoulder S40.012A Contusion of left shoulder Z96.612 Presence of left artificial shoulder joint
Acromioclavicular Arthritis M19.019	Distal Clavicle Resection 29824 CPT Coding	M19.011 - Primary osteoarthritis, right	M19.012 - Primary osteoarthritis, left
Acromioclavicular Joint Separations S43.109A	Acromioclavicular Joint Reconstruction 23552 CPT Coding	S43.101A - Unspecified S43.121A - 100%-200% displacement S43.131A - greater than 200%	S43.102A S43.122A - 100%-200% displacement S43.132A - greater than 200%
Acromion Fracture S42.123A	Acromion Fracture ORIF 23585	S42.121A - Displaced right	S42.122A - Displaced left
Adhesive Capsulitis M75.00	Arthroscopic Capsular Release 29825 CPT Coding	M75.01 Adhesive capsulitis right shoulder	M75.02 Adhesive capsulitis left shoulder
Biceps Tendonitis M75.20	Biceps Tenodesis 23430 29828 CPT Coding	M75.21 Bicipital tendinitis, right shoulder	M75.22 Bicipital tendinitis, left shoulder
Bursitis of Shoulder M75.50	Subacromial Decompression 29826 CPT Coding	M75.51 Bursitis right shoulder	M75.52 Bursitis left shoulder
Calcific Tendinitis of the RTC M75.30	Shoulder arthroscopy with extensive debridement 29823	M75.31 Calcific tendinitis right shoulder	M75.32 Calcific tendinitis left shoulder
Clavicle Fracture S42.023A 810.02	Clavicle Fracture ORIF 23515 CPT Coding	S42.021A Displaced fracture shaft right clavicle, initial closed	S42.025A Nondisplaced fracture shaft left clavicle, initial closed
Distal Clavicle Fracture S42.033A	Clavicle Fracture ORIF 23515 CPT Coding	S42.031A Displaced fracture lateral end right clavicle, initial closed	S42.032A Displaced fracture lateral end left clavicle, initial closed
Distal Clavicle Osteolysis M89.519	Distal Clavicle Resection 29824 CPT Coding	M89.511 Osteolysis, right shoulder	M89.512 Osteolysis, left shoulder
Glenohumeral Arthritis M19.019	Total Shoulder Arthroplasty 23472 CPT Coding	M19.011 Primary osteoarthritis, right shoulder	M19.012 - Primary osteoarthritis, left shoulder
Greater Tuberosity Fracture S42.253A	Greater Tuberosity Fracture ORIF 23630 CPT codes	S42.251A - Displaced fracture of greater tuberosity of right humerus	S42.252A - Displaced fracture of greater tuberosity of left humerus
Humeral Shaft Fracture S42.399A	Humeral Shaft Fracture ORIF 24515 CPT Coding	S42.341A Displaced spiral fracture shaft humerus, right arm, initial closed	S42.342A Displaced spiral fracture shaft humerus, left arm, initial closed
Proximal Humerus Fracture S42.209A	Proximal Humerus Fracture ORIF 23615 CPT Codes	S42.241A 4-part fracture surgical neck right humerus, initial closed S42.201A - Unspecified	42.242A 4-part fracture surgical neck left humerus, initial closed S42.202A - Unspecified
Rotator Cuff Strain S46.019A	E/M Coding	S46.011A Strain muscle(s) and tendon(s) the rotator cuff right shoulder, initial	S46.012A Strain muscle(s) and tendon(s) the rotator cuff left shoulder, initial
Rotator Cuff Tear (RTC) M75.120	Rotator Cuff Repair 29827 CPT Coding	M75.121 Complete rotator cuff tear or rupture right shoulder, not specified as …	M75.112 Incomplete rotator cuff tear or rupture left shoulder, not specified as…
Rotator Cuff Partial Thickness Tear M75.110	Rotator Cuff Repair 29827 CPT Coding	M75.111 Incomplete rotator cuff tear or rupture right shoulder, not specified a…	M75.112 Incomplete rotator cuff tear or rupture left shoulder, not specified as…
Shoulder Arthritis M19.019	Total Shoulder Arthroplasty 23472 CPT Coding	M19.011 Primary osteoarthritis, right shoulder	M19.012 Primary osteoarthritis, left shoulder
Shoulder Dislocation S43.016A	Shoulder Dislocation CPT codes Capsulorrhaphy CPT codes	S43.014A Anterior dislocation right humerus, initial	S43.015A Anterior dislocation left humerus, initial
Shoulder Pain	E/M Coding	M25.511 Pain in right shoulder	M25.512 Pain in left shoulder
SLAP Tear S43.439A	SLAP Repair 29807 CPT Coding	S43.431A Superior glenoid labrum lesion of right shoulder, initial	S43.432A Superior glenoid labrum lesion of left shoulder, initial
Stiffness in Shoulder	E/M Coding	M25.611	M25.612
Subacromial Impingement M75.50 726.10	Subacromial Decompression 29826 CPT Coding	M75.41 Impingement syndrome right shoulder	M75.42 Impingement syndrome left shoulder