2024 ICD-10-CM Diagnosis Code M25.51: Pain in shoulder (2024)

  1. ICD-10-CM Codes
  2. M00-M99
  3. M20-M25
  4. M25-
  5. 2024 ICD-10-CM Diagnosis Code M25.51

2024 ICD-10-CM Diagnosis Code M25.51: Pain in shoulder (1)

Pain in shoulder

    2016 2017 2018 2019 2020 2021 2022 2023 2024 Non-Billable/Non-Specific Code
  • M25.51 should not be used for reimbursem*nt purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2024 edition of ICD-10-CM M25.51 became effective on October 1, 2023.
  • This is the American ICD-10-CM version of M25.51 - other international versions of ICD-10 M25.51 may differ.

The following code(s) above M25.51 contain annotation back-references

Annotation Back-References

In this context, annotation back-references refer to codes that contain:

  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations

that may be applicable to M25.51:

  • M00-M99

    2024 ICD-10-CM Range M00-M99

    Diseases of the musculoskeletal system and connective tissue

    Note

    • Use an external cause code following the code for the musculoskeletal condition, if applicable, to identify the cause of the musculoskeletal condition

    Type 2 Excludes

    • arthropathic psoriasis (L40.5-)
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • compartment syndrome (traumatic) (T79.A-)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

    Diseases of the musculoskeletal system and connective tissue
  • M20-M25

    2024 ICD-10-CM Range M20-M25

    Other joint disorders

    Type 2 Excludes

    • joints of the spine (M40-M54)

    Other joint disorders
  • M25

    ICD-10-CM Diagnosis Code M25

    Other joint disorder, not elsewhere classified

      2016 2017 2018 2019 2020 2021 2022 2023 2024 Non-Billable/Non-Specific Code

    Type 2 Excludes

    • abnormality of gait and mobility (R26.-)
    • acquired deformities of limb (M20-M21)
    • calcification of bursa (M71.4-)
    • calcification of shoulder (joint) (M75.3)
    • calcification of tendon (M65.2-)
    • difficulty in walking (R26.2)
    • temporomandibular joint disorder (M26.6-)
    Other joint disorder, not elsewhere classified
  • M25.5

    ICD-10-CM Diagnosis Code M25.5

    Pain in joint

      2016 2017 2018 2019 2020 2021 2022 2023 2024 Non-Billable/Non-Specific Code

    Type 2 Excludes

    • pain in hand (M79.64-)
    • pain in fingers (M79.64-)
    • pain in foot (M79.67-)
    • pain in limb (M79.6-)
    • pain in toes (M79.67-)
    Pain in joint

Clinical Information

  • Unilateral or bilateral pain of the shoulder. It is often caused by physical activities such as work or sports participation, but may also be pathologic in origin.

Code History

  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
  • 2024 (effective 10/1/2023): No change

Code annotations containing back-references to M25.51:

  • Type 1 Excludes: R52

    ICD-10-CM Diagnosis Code R52

    Pain, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code

    Applicable To

    • Acute pain NOS
    • Generalized pain NOS
    • Pain NOS

    Type 1 Excludes

    • acute and chronic pain, not elsewhere classified (G89.-)
    • localized pain, unspecified type - code to pain by site, such as:
    • abdomen pain (R10.-)
    • back pain (M54.9)
    • breast pain (N64.4)
    • chest pain (R07.1-R07.9)
    • ear pain (H92.0-)
    • eye pain (H57.1)
    • headache (R51.9)
    • joint pain (M25.5-)
    • limb pain (M79.6-)
    • lumbar region pain (M54.5-)
    • pelvic and perineal pain (R10.2)
    • shoulder pain (M25.51-)
    • spine pain (M54.-)
    • throat pain (R07.0)
    • tongue pain (K14.6)
    • tooth pain (K08.8)
    • renal colic (N23)
    • pain disorders exclusively related to psychological factors (F45.41)
  • Type 2 Excludes: G89

    ICD-10-CM Diagnosis Code G89

    Pain, not elsewhere classified

      2016 2017 2018 2019 2020 2021 2022 2023 2024 Non-Billable/Non-Specific Code

    Code Also

    • related psychological factors associated with pain (F45.42)

    Type 1 Excludes

    • generalized pain NOS (R52)
    • pain disorders exclusively related to psychological factors (F45.41)
    • pain NOS (R52)

    Type 2 Excludes

    • atypical face pain (G50.1)
    • headache syndromes (G44.-)
    • localized pain, unspecified type - code to pain by site, such as:
    • abdomen pain (R10.-)
    • back pain (M54.9)
    • breast pain (N64.4)
    • chest pain (R07.1-R07.9)
    • ear pain (H92.0-)
    • eye pain (H57.1)
    • headache (R51.9)
    • joint pain (M25.5-)
    • limb pain (M79.6-)
    • lumbar region pain (M54.5-)
    • painful urination (R30.9)
    • pelvic and perineal pain (R10.2)
    • shoulder pain (M25.51-)
    • spine pain (M54.-)
    • throat pain (R07.0)
    • tongue pain (K14.6)
    • tooth pain (K08.8)
    • renal colic (N23)
    • migraines (G43.-)
    • myalgia (M79.1-)
    • pain from prosthetic devices, implants, and grafts (T82.84, T83.84, T84.84, T85.84-)
    • phantom limb syndrome with pain (G54.6)
    • vulvar vestibulitis (N94.810)
    • vulvodynia (N94.81-)

Diagnosis Index entries containing back-references to M25.51:

  • Pain(s) R52 - see also Painful

    ICD-10-CM Diagnosis Code R52

    Pain, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code

    Applicable To

    • Acute pain NOS
    • Generalized pain NOS
    • Pain NOS

    Type 1 Excludes

    • acute and chronic pain, not elsewhere classified (G89.-)
    • localized pain, unspecified type - code to pain by site, such as:
    • abdomen pain (R10.-)
    • back pain (M54.9)
    • breast pain (N64.4)
    • chest pain (R07.1-R07.9)
    • ear pain (H92.0-)
    • eye pain (H57.1)
    • headache (R51.9)
    • joint pain (M25.5-)
    • limb pain (M79.6-)
    • lumbar region pain (M54.5-)
    • pelvic and perineal pain (R10.2)
    • shoulder pain (M25.51-)
    • spine pain (M54.-)
    • throat pain (R07.0)
    • tongue pain (K14.6)
    • tooth pain (K08.8)
    • renal colic (N23)
    • pain disorders exclusively related to psychological factors (F45.41)
    • joint M25.50

      ICD-10-CM Diagnosis Code M25.50

      Pain in unspecified joint

        2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code
      • shoulder M25.51-
    • shoulder M25.51-

ICD-10-CM Codes Adjacent To M25.51

M25.47 Effusion, ankle and foot

M25.471 Effusion, right ankle

M25.472 Effusion, left ankle

M25.473 Effusion, unspecified ankle

M25.474 Effusion, right foot

M25.475 Effusion, left foot

M25.476 Effusion, unspecified foot

M25.48 Effusion, other site

M25.5 Pain in joint

M25.50 Pain in unspecified joint

M25.51 Pain in shoulder

M25.511 Pain in right shoulder

M25.512 Pain in left shoulder

M25.519 Pain in unspecified shoulder

M25.52 Pain in elbow

M25.521 Pain in right elbow

M25.522 Pain in left elbow

M25.529 Pain in unspecified elbow

M25.53 Pain in wrist

M25.531 Pain in right wrist

M25.532 Pain in left wrist

Reimbursem*nt claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

2024 ICD-10-CM Diagnosis Code M25.51: Pain in shoulder (2024)
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