ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
DiagnosesAdhesive Capsulitis Right Shoulder

Adhesive Capsulitis Right Shoulder

ICD-10 Coding for Adhesive Capsulitis of the Right Shoulder(M75.01)

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

Diagnosis Overview

What is Adhesive Capsulitis Right Shoulder?
Essential facts and insights about Adhesive Capsulitis of the Right Shoulder

Key Clinical Considerations:

  • Patients typically present with shoulder pain and stiffness, particularly in external rotation and abduction.
  • No specific laboratory findings; diagnosis is primarily clinical.
  • Physical examination may reveal limited range of motion in the shoulder joint, particularly in passive and active movements.
  • Imaging studies such as MRI may show thickening of the joint capsule but are not required for diagnosis.
  • Severity can be classified into three stages: freezing (painful), frozen (stiffness), and thawing (resolution of symptoms).

Clinical Information

Clinical Criteria & Documentation Requirements

  • Document the patient's history of shoulder pain, including duration and impact on daily activities.
  • Use specific terminology such as 'adhesive capsulitis' or 'frozen shoulder' in the medical record.
  • Examples include: 'Patient presents with limited range of motion in the right shoulder due to adhesive capsulitis.'
  • Medical necessity must be established, including the need for physical therapy or surgical intervention.
  • Quality measures may include documentation of pain scores and functional assessments.

Coding Guidelines

Usage Guidelines & Examples

  • Use this diagnosis code when a patient presents with adhesive capsulitis specifically affecting the right shoulder.
  • Do not use this code for shoulder pain due to other causes such as rotator cuff tears or osteoarthritis.
  • Related codes include M75.00 (adhesive capsulitis, unspecified shoulder) and M75.02 (adhesive capsulitis, left shoulder).
  • Common errors include misclassifying the condition as a rotator cuff injury; ensure accurate clinical assessment.
  • In complex cases, consider the patient's full clinical picture and any co-existing shoulder conditions.

Code Exclusions

Important Exclusions

  • Excludes adhesive capsulitis of the left shoulder (M75.02) and unspecified shoulder (M75.00).
  • Alternative codes for excluded conditions include M75.1 for rotator cuff syndrome.
  • Conditions are excluded to ensure accurate coding and appropriate treatment pathways.
  • Common mistakes include coding adhesive capsulitis when the primary issue is a rotator cuff tear.
  • Related but distinct conditions include shoulder impingement syndrome and glenohumeral instability.

Related ICD-10 Codes

Primary Codes
M75.01
Adhesive capsulitis of the right shoulder
M75.00
Adhesive capsulitis, unspecified shoulder
Ancillary Codes
M75.00
Differential Codes
M25.512
M25.512
when there is shoulder pain without significant ROM limitation.

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Orthopedics

Specialty Applications

  • Applies to patients with adhesive capsulitis affecting the right shoulder.
  • Commonly seen in middle-aged adults, particularly women, and those with diabetes or thyroid disorders.
  • Clinical settings include outpatient orthopedic clinics and physical therapy facilities.
  • Relevant for orthopedic specialists, physical therapists, and primary care providers.
  • Treatment contexts include conservative management with physical therapy and potential surgical intervention.

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

Template 1

Template: 'Patient diagnosed with adhesive capsulitis based on clinical findings of limited range of motion.'

Template 2

Template: 'Clinical presentation consistent with adhesive capsulitis including pain and stiffness in the right shoulder.'

Template 3

Template: 'Diagnostic criteria for adhesive capsulitis met as evidenced by restricted shoulder movement.'

Template 4

Template: 'Treatment plan initiated for adhesive capsulitis with physical therapy and pain management.'

Template 5

Template: 'Follow-up care for adhesive capsulitis including monitoring of shoulder mobility and pain levels.'

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

What documentation is required for this diagnosis?

Document patient history, physical exam findings, and treatment plans.

How does this differ from similar diagnoses?

Adhesive capsulitis is characterized by significant stiffness and pain, unlike rotator cuff injuries.

What are common billing considerations?

Ensure documentation supports medical necessity for treatments like physical therapy.

What procedures are typically associated?

CPT codes for physical therapy and potential surgical interventions may be relevant.

Are there any quality reporting implications?

Quality measures may include functional assessments and pain management documentation.