ICD Code M19.011

ICD code M19.011 is primary osteoarthritis of the right shoulder.

1. Patient presents with chronic pain localized to the right shoulder.

2. Physical examination reveals decreased range of motion and crepitus in the right shoulder joint.

3. Imaging studies (e.g., X-ray, MRI) show joint space narrowing, osteophyte formation, and subchondral sclerosis in the right shoulder.

4. No history of trauma, inflammatory arthritis, or secondary causes of osteoarthritis in the right shoulder.

5. Symptoms have persisted for several months and are progressively worsening.

6. Functional limitations are noted in activities involving the right shoulder.

Relevant CPT codes for ICD code M19.011 include:

- 20610: Arthrocentesis, aspiration and/or injection; major joint or bursa (e.g., shoulder)

- 23410: Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; acute

- 23412: Repair of ruptured musculotendinous cuff (e.g., rotator cuff) open; chronic

- 23472: Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement)

- 29806: Arthroscopy, shoulder, surgical; capsulorrhaphy

- 29807: Arthroscopy, shoulder, surgical; repair of SLAP lesion

- 29823: Arthroscopy, shoulder, surgical; debridement, extensive

- 29824: Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)

- 29826: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty

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