Flexion deformity, unspecified shoulder
ICD-10 M21.219 is a billable code used to indicate a diagnosis of flexion deformity, unspecified shoulder.
Flexion deformity of the shoulder refers to a condition where the shoulder joint is unable to extend fully due to a structural or functional abnormality. This deformity can be acquired through various means, including trauma, neurological conditions, or prolonged immobilization. Patients may present with limited range of motion, pain, and functional impairment, affecting daily activities. The condition can arise from conditions such as adhesive capsulitis, rotator cuff injuries, or post-surgical complications. Treatment options may include physical therapy, surgical interventions, or the use of orthotic devices to improve shoulder function. Accurate diagnosis is crucial, as the management strategies may differ based on the underlying cause of the flexion deformity. Documentation should include the duration of the deformity, associated symptoms, and any prior treatments attempted to provide a comprehensive view of the patient's condition.
Detailed physical examination findings, imaging results, and treatment plans.
Patients presenting with limited shoulder mobility post-injury or surgery.
Ensure to document any prior interventions and their outcomes.
Functional assessments, therapy progress notes, and patient-reported outcomes.
Patients undergoing rehabilitation for shoulder flexion deformities.
Document the patient's functional goals and progress towards them.
Used when surgical intervention is required for shoulder flexion deformity.
Operative report detailing the procedure and indications.
Orthopedic documentation must clearly outline the deformity and surgical rationale.
M21.219 is an unspecified code for flexion deformity of the shoulder, while M21.218 specifies a flexion deformity of the right shoulder. The choice of code depends on the documentation of laterality.
