ICD-10 Code for shoulder pain

The ICD-10-CM code for shoulder pain is M25.511 when documented without further specification. Shoulder pain codes to the M25.51- laterality family: M25.511 right, M25.512 left, M25.519 unspecified. The primary lists right shoulder — assign the side the record documents.

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Symptom code vs. confirmed diagnosis

Shoulder pain is a symptom code (M25.51-), used when no specific shoulder diagnosis is established. When a rotator cuff tear, adhesive capsulitis (M75.-), osteoarthritis, or injury is documented, code that instead of the pain.

Which Code Should You Use?

M25.511 ✓ Billable — Pain in right shoulder

Pain in right shoulder.

M25.512 ✓ Billable — Pain in left shoulder

Pain in left shoulder.

M25.519 ✓ Billable — Pain in unspecified shoulder

Pain in unspecified shoulder.

What to Document

  • Laterality — right, left, or unspecified (M25.511/512/519).
  • Whether a specific shoulder diagnosis is established (rotator cuff, adhesive capsulitis M75.-, OA).
  • Acute injury vs chronic/atraumatic pain.

Common Documentation Pitfalls

  • Assigning M25.519 (unspecified) when the note states right or left shoulder.
  • Coding the pain symptom when a definitive shoulder diagnosis is documented.

Coding Notes

M25.51- is laterality-driven (right 511 / left 512 / unspecified 519). Assign the documented side rather than the unspecified default, and code a confirmed shoulder diagnosis (rotator cuff, adhesive capsulitis M75.-, OA) instead of the pain symptom.

References

Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2025-10-01

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