M25.512 Pain in left shoulder

ICD10CM code

#### Name of the Condition
- **Pain in Left Shoulder**
- Medical Term: **Shoulder Pain, Left (ICD-10 Code M25.512)**

#### Summary
Pain in the left shoulder is a discomfort or ache experienced in the shoulder region, which may be due to various causes ranging from muscle strain to underlying medical conditions.

#### Causes
- Muscle strain from overuse or injury
- Tendonitis or bursitis
- Arthritis
- Rotator cuff injuries
- Pinched nerve or cervical radiculopathy

#### Risk Factors
- Advanced age
- Repetitive arm movements or heavy lifting
- Participating in sports that involve overhead motions
- Previous shoulder injuries
- Poor posture

#### Symptoms
- Dull or sharp pain in the shoulder
- Limited range of motion
- Swelling or tenderness
- Weakness in the shoulder or arm

#### Diagnosis
- Physical examination by a healthcare provider
- Imaging tests such as X-rays, MRI, or ultrasound
- Medical history evaluation

#### Treatment Options
- **Medications:** Pain relievers (NSAIDs) to reduce discomfort.
- **Physical Therapy:** Exercises to improve strength and range of motion.
- **Corticosteroid Injections:** To reduce inflammation.
- **Surgery:** Considered in severe cases, such as rotator cuff tears.

Each treatment targets pain relief, inflammation reduction, or physical rehabilitation to enhance daily function.

#### Prognosis and Follow-Up
- Prognosis depends on the underlying cause and effectiveness of treatment.
- Regular follow-ups to monitor progress and adjust treatments as necessary.

#### Complications
- Chronic pain
- Reduced mobility and functionality
- Increased risk of recurrent injuries or joint issues

#### Lifestyle & Prevention
- Regular exercise to maintain shoulder strength and flexibility
- Proper posture and ergonomics
- Avoiding repetitive overhead movements when possible

#### When to Seek Professional Help
- Severe or persistent pain
- Inability to move the shoulder or arm
- Signs of infection like swelling, warmth, or redness

#### Additional Resources
- [American Academy of Orthopaedic Surgeons](https://www.aaos.org/)
- [National Institute of Arthritis and Musculoskeletal and Skin Diseases](https://www.niams.nih.gov/)

#### Tips for Medical Coders
- Ensure precise documentation of which shoulder is affected—left in this case.
- Cross-reference related symptoms or secondary conditions for comprehensive coding.
- Avoid common errors such as overlooking associated diagnoses that may alter coding specificity.

Medical Policies and Guidelines for Pain in left shoulder

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