Diagnosis Procedure-CPT ICD10-Right ICD10-Left ShoulderPainStiffnessSprainEffusionContusionArtificial Joint E/M Coding Modifiers M25.511 Pain in right shoulderM25.611 Stiffness of right shoulder S43.491A Other sprain of right shoulder jointM25.411 Effusion, right shoulder S40.011A Contusion of right shoulder, Z96.611 Presence of right artificial shoulder joint M25.512 Pain in left shoulderM25.612 Stiffness of left shoulder S43.492A Other sprain of left shoulder jointM25.412 Effusion, left shoulder S40.012A Contusion of left shoulderZ96.612 Presence of left artificial shoulder joint Acromioclavicular Arthritis M19.019(link is external) Distal Clavicle Resection 29824CPT Coding M19.011 - Primary osteoarthritis, right M19.012 - Primary osteoarthritis, left Acromioclavicular Joint Separations S43.109A Acromioclavicular Joint Reconstruction 23552CPT Coding S43.101A - UnspecifiedS43.121A - 100%-200% displacementS43.131A - greater than 200% S43.102AS43.122A - 100%-200% displacementS43.132A - 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 29825CPT Coding M75.01 Adhesive capsulitis right shoulder M75.02 Adhesive capsulitis left shoulder Biceps Tendonitis M75.20 Biceps Tenodesis 2343029828CPT Coding M75.21 Bicipital tendinitis, right shoulder M75.22 Bicipital tendinitis, left shoulder Bursitis of Shoulder M75.50 Subacromial Decompression 29826CPT 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 23515CPT 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 23515CPT 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 29824CPT Coding M89.511 Osteolysis, right shoulder M89.512 Osteolysis, left shoulder Glenohumeral Arthritis M19.019 Total Shoulder Arthroplasty 23472CPT Coding M19.011 Primary osteoarthritis, right shoulder M19.012 - Primary osteoarthritis, left shoulder Greater Tuberosity Fracture S42.253A Greater Tuberosity Fracture ORIF 23630CPT 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 24515CPT 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 23615CPT Codes S42.241A 4-part fracture surgical neck right humerus, initial closedS42.201A - Unspecified 42.242A 4-part fracture surgical neck left humerus, initial closedS42.202A - 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 29827CPT Coding M75.121 Complete rotator cuff tear or rupture right shoulder, not specified as traumatic M75.112 Incomplete rotator cuff tear or rupture left shoulder, not specified as traumatic Rotator Cuff Partial Thickness Tear M75.110 Rotator Cuff Repair 29827CPT Coding M75.111 Incomplete rotator cuff tear or rupture right shoulder, not specified as traumatic M75.112 Incomplete rotator cuff tear or rupture left shoulder, not specified as traumatic Shoulder Arthritis M19.019 Total Shoulder Arthroplasty 23472CPT Coding M19.011 Primary osteoarthritis, right shoulder M19.012 Primary osteoarthritis, left shoulder Shoulder Dislocation S43.016A Shoulder Dislocation CPT codesCapsulorrhaphy CPT codes(link is external) 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 29807CPT 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 29826CPT Coding M75.41 Impingement syndrome right shoulder M75.42 Impingement syndrome left shoulder
