M24.419 Recurrent dislocation, unspecified shoulder

ICD10CM code

#### Name of the Condition
- Recurrent dislocation, unspecified shoulder
- Also known as chronic shoulder instability

#### Summary
Recurrent shoulder dislocation is a condition where the shoulder joint frequently slips out of place. This instability can lead to pain and difficulty in performing daily activities.

#### Causes
- Traumatic injury (such as a fall or collision).
- Overuse of the shoulder joint in sports or occupations.
- Weakness of the muscles or ligaments that support the shoulder.

#### Risk Factors
- Participation in contact sports (e.g., football, rugby).
- Previous shoulder injuries or dislocations.
- Genetic predispositions to joint instability.

#### Symptoms
- A feeling of the shoulder "giving out" or slipping out of its joint.
- Pain and swelling around the shoulder area.
- Limited range of motion or shoulder weakness.

#### Diagnosis
- Physical examination by a healthcare professional.
- Imaging tests such as X-rays or MRIs to assess joint damage.
- Arthroscopy may be used for a direct visualization of the joint.

#### Treatment Options
- Physical therapy to strengthen shoulder muscles and improve stability.
- Use of a sling or shoulder brace to prevent further dislocations.
- Surgical intervention for severe or recurrent cases to repair or tighten ligaments.

#### Prognosis and Follow-Up
- The outcome is generally favorable with proper treatment and rehabilitation.
- Regular follow-ups are essential to monitor healing and regain full shoulder function.
- Long-term avoidance of activities that stress the shoulder is advised until fully healed.

#### Complications
- Chronic pain and discomfort.
- Development of arthritis in the shoulder joint.
- Potential for repeated injuries without proper treatment.

#### Lifestyle & Prevention
- Engage in exercises that strengthen shoulder muscles.
- Practice proper techniques in sports to prevent injury.
- Adequate warm-up and stretching before physical activities.

#### When to Seek Professional Help
- If the shoulder dislocates frequently or after a minor trauma.
- Persistent pain, swelling, or reduced range of motion.
- Numbness or tingling sensations in the arm.

#### Additional Resources
- American Academy of Orthopaedic Surgeons (AAOS) [website](https://www.aaos.org/)
- National Institutes of Health (NIH) resources on joint health.
 
#### Tips for Medical Coders
- Ensure to confirm the unspecified shoulder is documented in the medical record.
- Double-check the correct coding of laterality, if applicable, to avoid errors.
- Be attentive to any associated trauma codes that might need documentation.

Medical Policies and Guidelines for Recurrent dislocation, unspecified shoulder

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