M75.31 Calcific tendinitis of right shoulder

ICD10CM code

#### Name of the Condition
- Calcific tendinitis of the right shoulder
- Also known as calcific tendinopathy or calcific shoulder bursitis

#### Summary
Calcific tendinitis of the right shoulder is a condition characterized by the accumulation of calcium deposits in the tendons of the shoulder, particularly the rotator cuff. This can lead to pain, inflammation, and restricted shoulder movement.

#### Causes
The exact cause of calcific tendinitis is not well understood. However, it is thought to occur due to a combination of factors, including degeneration of tendon tissues, decreased blood supply to the tendons, and metabolic imbalances that lead to calcification.

#### Risk Factors
- Age: Most common in individuals aged 30-60 years.
- Gender: More prevalent in women than men.
- Repetitive shoulder activities and overhead motions.
- Underlying metabolic conditions such as diabetes.

#### Symptoms
- Severe shoulder pain, typically worsening at night.
- Limited range of motion in the shoulder.
- Tenderness and swelling around the affected joint.
- A catching or clicking sensation during shoulder movement.

#### Diagnosis
- Physical examination assessing pain and range of motion.
- Imaging tests such as X-rays and ultrasound to confirm the presence of calcification.
- MRI may be used to evaluate the extent of tendon involvement.

#### Treatment Options
- **Non-steroidal anti-inflammatory drugs (NSAIDs):** Help reduce pain and inflammation.
- **Physical therapy:** Enhances range of motion and strengthens shoulder muscles.
- **Corticosteroid injections:** Reduce inflammation and pain in the short term.
- **Extracorporeal shock wave therapy (ESWT):** Non-invasive treatment to break down calcifications.
- **Surgery:** Arthroscopic removal of calcium deposits in severe cases or if conservative treatments fail.

#### Prognosis and Follow-Up
With appropriate treatment, many patients experience significant relief from symptoms. Regular follow-up with healthcare providers is essential to monitor progress and modify treatment plans, ensuring optimal recovery and preventing recurrence.

#### Complications
If untreated, calcific tendinitis may lead to chronic pain, reduced mobility, and in some cases, rotator cuff tears or shoulder impingement syndrome.

#### Lifestyle & Prevention
- Incorporate shoulder-strengthening exercises into fitness routines.
- Avoid repetitive overhead activities that strain the shoulder.
- Maintain a healthy weight and control any metabolic disorders.

#### When to Seek Professional Help
- Sudden, severe shoulder pain that does not improve with rest or over-the-counter pain relievers.
- Imminent signs of infection such as redness, warmth, and fever.
- Significant loss of shoulder function or mobility.

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

#### Tips for Medical Coders
- Ensure the specific site of calcific tendinitis is documented for accurate coding.
- Verify patient records for laterality (in this case, specifically noting the right shoulder).
- Avoid common errors such as coding a generic shoulder tendinitis code instead of the specific M75.31 code for calcific tendinitis.

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