Question

Using the techniques described in this chapter carefully read through the case study and determine the most accurate ICD-10-CM code(s) and external cause code(s) if appropriate. Remember, check the chapter specific, sub-chapter specific and category specific notations within the Tabular list.

Roger Gill, a 39-year-old retired professional athlete, comes in with complaints of intermittent joint pain, particularly in his left shoulder. He was a pitcher on a AA league baseball team. He also states he feels tenderness at the outer aspect of the left shoulder, most often when he raises his arm. He states that simply putting on his shirt is very painful. Dr. Jeaneau asks Roger if he suffered any shoulder injuries while playing baseball. Roger admitted that his left proximal humerus was fractured when hit by a thrown ball during a game. Roger quickly added that it healed OK. Dr. Jeaneau confirms a diagnosis of abscess of the bursa of his shoulder.

Be sure to list the codes, one code per box, in the correct order, from top to bottom. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices.

What is/are the correct diagnosis code(s)?

Answer 1

Answer:

ICD -10- CM code

abscess of the bursa of left shoulder. M71 . 012

Intermittent left shoulder joint pain. M25 . 512