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v1.0.0
ICD-10 Guide
DiagnosesRight Upper Arm Pain

Right Upper Arm Pain

ICD-10 Coding for Right Upper Arm Pain(M79.621)

PRIMARY SPECIALTYOrthopedics
COMPLEXITYHigh
LAST UPDATED09/15/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Right Upper Arm Pain?
Essential facts and insights about Right Upper Arm Pain

Key Clinical Considerations:

  • Localized pain in the right upper arm, possibly radiating to shoulder or elbow
  • Imaging studies such as X-rays or MRI showing soft tissue or bony abnormalities
  • Tenderness, swelling, or limited range of motion during physical examination

Clinical Information

Clinical Criteria & Documentation Requirements

  • Patient history including onset, duration, and nature of pain
  • Specific terminology such as 'right upper arm pain' or 'shoulder impingement'
  • Examples include detailed descriptions of physical exam findings and imaging results

Coding Guidelines

Usage Guidelines & Examples

  • Usage guidelines emphasize specificity in coding for accurate reimbursement.
  • Common errors include using general codes instead of specific ones for right upper arm pain.

Code Exclusions

Important Exclusions

  • Fractures, dislocations, or severe trauma to the arm
  • Alternative codes for left arm pain or unspecified arm pain

Related ICD-10 Codes

Primary Codes
M25.511
Pain in right shoulder
M79.601
Pain in right arm
Ancillary Codes
G89.11
Differential Codes
M25.511

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Orthopedics

Specialty Applications

  • Adult and pediatric patients presenting with upper arm pain
  • Orthopedic clinics, urgent care centers, and primary care settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

  • Comprehensive clinical documentation
  • Accurate code selection based on clinical criteria
  • Proper exclusion considerations
  • Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

  • Ensure proper documentation for billing
  • Verify code specificity requirements
  • Check for any additional codes needed
  • Review payer-specific guidelines

Common Issues

  • Insufficient clinical documentation
  • Incorrect code selection
  • Missing supporting diagnoses
  • Timing and frequency documentation

Frequently Asked Questions

Documentation requirements?

Include detailed patient history, physical exam findings, and imaging results.

Billing considerations?

Ensure accurate coding to reflect the specific diagnosis and any associated procedures.