Flexion deformity, shoulder
ICD-10 M21.21 is a billable code used to indicate a diagnosis of flexion deformity, shoulder.
Flexion deformity of the shoulder refers to a condition where the shoulder joint is unable to extend fully due to a fixed flexed position. This acquired deformity can result from various factors, including trauma, neurological conditions, or prolonged immobilization. Patients may present with limited range of motion, pain, and functional impairment, significantly affecting daily activities. The condition can arise from conditions such as adhesive capsulitis, rotator cuff injuries, or post-surgical complications. Treatment often involves physical therapy, surgical intervention, or corrective procedures aimed at restoring normal shoulder function. In cases where the flexion deformity is severe, surgical options may include tendon release or shoulder arthroplasty. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.
Detailed notes on the patient's history, physical examination findings, imaging studies, and treatment plans.
Patients with post-traumatic shoulder flexion deformities or those with adhesive capsulitis.
Ensure that all relevant imaging and therapy notes are included to support the diagnosis.
Comprehensive assessments of functional limitations and rehabilitation goals.
Patients undergoing rehabilitation for shoulder injuries or post-surgical recovery.
Document progress notes and therapy outcomes to justify the need for ongoing treatment.
Used in conjunction with M21.21 for patients undergoing evaluation for surgical correction.
Document the indication for the procedure and findings during the arthroscopy.
Orthopedic surgeons should ensure that the surgical necessity is well-documented.
Flexion deformity in the shoulder can be caused by various factors, including trauma, neurological conditions, or prolonged immobilization, leading to soft tissue contractures and muscle imbalances.
