ICD Code M25.611

ICD code M25.611 is stiffness of the right shoulder, not elsewhere classified.

1. Patient presents with stiffness localized specifically to the right shoulder

2. Stiffness is not attributable to a traumatic injury or recent surgical procedure

3. No evidence of systemic inflammatory conditions (e.g., rheumatoid arthritis) as the primary cause

4. Stiffness is not due to a neurological disorder

5. Imaging and clinical evaluation rule out fractures, dislocations, or rotator cuff tears as the primary etiology

6. Stiffness persists despite initial conservative management

7. Stiffness is not better classified under another specific musculoskeletal or connective tissue disorder

8. Symptoms include reduced range of motion, difficulty performing overhead activities, and subjective sensation of tightness or immobility in the right shoulder

Relevant CPT codes that may be used to treat ICD code M25.611 include:

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

- 29806: Arthroscopy, shoulder, surgical; capsulorrhaphy

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

- 29822: Arthroscopy, shoulder, surgical; debridement, limited

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

- 97010: Application of a modality to 1 or more areas; hot or cold packs

- 97035: Ultrasound therapy

- 97110: Therapeutic exercises

- 97112: Neuromuscular reeducation

- 97140: Manual therapy techniques

CPT code selection should be based on the specific treatment rendered for M25.611.

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