M19.211 Secondary osteoarthritis, right shoulder

ICD10CM code

#### Name of the Condition
- Common Name: Secondary Osteoarthritis, Right Shoulder
- Medical Term: M19.211

#### Summary
Secondary osteoarthritis of the right shoulder is a form of arthritis characterized by the gradual degeneration of joint cartilage, specifically due to an underlying condition or injury, rather than as a result of the aging process.

#### Causes
Secondary osteoarthritis is often caused by previous injuries to the shoulder, such as fractures or dislocations, chronic overuse, or inflammatory conditions such as rheumatoid arthritis. Other potential causes can include metabolic diseases or mechanical misalignments.

#### Risk Factors
- Previous shoulder injuries or surgeries
- Age, typically affecting older adults
- Chronic overuse from activities or occupations
- Pre-existing inflammatory joint diseases
- Obesity, which places additional stress on joints

#### Symptoms
- Pain and stiffness in the right shoulder
- Decreased range of motion
- Swelling and tenderness around the shoulder joint
- Crepitus, a grating sensation during joint movement

#### Diagnosis
Diagnosis generally involves:
- Medical history review
- Physical examination
- Imaging tests such as X-rays, MRI, or CT scans to evaluate joint changes
- Occasionally, blood tests to rule out other conditions

#### Treatment Options
- Medications such as NSAIDs to reduce pain and inflammation
- Physical therapy to improve mobility and strengthen shoulder muscles
- Corticosteroid injections for severe inflammation
- Surgical options like shoulder arthroscopy or joint replacement in advanced cases

#### Prognosis and Follow-Up
The prognosis varies based on severity and response to treatment. While secondary osteoarthritis is a chronic condition, proper management can control symptoms and improve joint function. Regular follow-up appointments are crucial to monitor progression and adjust treatments as needed.

#### Complications
- Reduced mobility and function in the affected shoulder
- Chronic pain impacting daily activities
- Increased risk of joint deformities over time

#### Lifestyle & Prevention
- Engaging in low-impact exercises to improve joint mobility
- Maintaining a healthy weight to reduce joint stress
- Using ergonomic tools and techniques to minimize repetitive strain
- Timely treatment of shoulder injuries to prevent future complications

#### When to Seek Professional Help
Seek medical attention if you experience:
- Persistent or worsening shoulder pain
- Significant loss of motion or function in the shoulder
- Signs of infection such as fever or severe swelling

#### Additional Resources
- Arthritis Foundation: [www.arthritis.org](http://www.arthritis.org)
- American Academy of Orthopaedic Surgeons: [www.aaos.org](http://www.aaos.org)

#### Tips for Medical Coders
- Ensure that the condition is correctly identified as secondary osteoarthritis, M19.211, specifically affecting the right shoulder.
- Avoid confusion with primary osteoarthritis or conditions affecting other joints.
- Consider reviewing the patient's history for underlying causes that may have led to the development of secondary osteoarthritis.

Medical Policies and Guidelines for Secondary osteoarthritis, right shoulder

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