ICD Code M75.80

ICD code M75.80 is used to indicate other shoulder lesions that are not specifically defined, affecting an unspecified shoulder.

1. Patient presents with shoulder pain or dysfunction not attributable to a more specific diagnosis.

2. Clinical evaluation reveals evidence of a shoulder lesion, such as swelling, tenderness, or limited range of motion.

3. Imaging studies (e.g., X-ray, MRI, ultrasound) indicate abnormal findings in the shoulder, but do not clearly identify a specific pathology (e.g., rotator cuff tear, bursitis, or tendinitis).

4. Other common shoulder conditions (such as adhesive capsulitis, impingement syndrome, or arthritis) have been ruled out through clinical assessment and diagnostic testing.

5. Symptoms may include localized pain, weakness, stiffness, or reduced mobility of the shoulder joint.

6. The lesion is not further specified or classified under a more precise diagnostic code after thorough evaluation.

Relevant CPT codes that may be used to treat ICD code M75.80 include:

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

- 23120: Claviculectomy; partial

- 23130: Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release

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

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

- 23420: Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)

- 23430: Tenodesis of long tendon of biceps

- 23440: Resection or excision of lesion of tendon, sheath, or capsule (e.g., cyst, tumor, calcific deposit, scar)

- 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

- 29824: Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface

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

These CPT codes are commonly associated with the treatment of M75.80. Proper code selection should be based on the specific clinical scenario and procedures performed.

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