CodeMap® 
150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-April
2025-January

ASC Fee Schedule

2025-April
2025-January

APC Codes

2025-April
2025-January

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-April
2025-January


CMS Transmittals



.

ICD-10 Code or Description Search:

M25.40 Quick jump to specific ICD-10 (CM) Code: M25.412


See Category: Diseases of the musculoskeletal system and connective tissue

See Header: Effusion, shoulder

ICD-10 (CM) Code and Descriptor

M25.411 Effusion, right shoulder

M25411 utilizaton on OPPS claims.*

Primary
ICD10 Code
ICD10
Position 2
ICD10
Position 3
ICD10
Position 4
ICD10
Position 5
ICD10
Position 6
ICD10
Position 7
ICD10
Position 8
ICD10
Position 9
ICD10
Position 10
8.10% 22.71% 24.33% 18.59% 11.39% 5.93% 3.38% 1.91% 1.20% 0.57%

* Medicare Part A utilization data is derived from the 100% 2023 Outpatient (Fee-for-Service) Standard Analytical File.

Commonly Associated Procedure Codes for M25.411*:

CPT
Description Number of Claims Sum Performed
73221
MRI JOINT UPR EXTREM W/O DYE 354 355
97110
THERAPEUTIC EXERCISES 271 507
87070
CULTURE OTHR SPECIMN AEROBIC 216 222
87205
SMEAR GRAM STAIN 208 212
73030
X-RAY EXAM OF SHOULDER 191 191
89051
BODY FLUID CELL COUNT 167 170
97530
THERAPEUTIC ACTIVITIES 139 225
85025
COMPLETE CBC W/AUTO DIFF WBC 139 139
89060
EXAM SYNOVIAL FLUID CRYSTALS 138 139
87075
CULTR BACTERIA EXCEPT BLOOD 136 137
36415
COLL VENOUS BLD VENIPUNCTURE 133 135
20610
DRAIN/INJ JOINT/BURSA W/O US 130 132
G0463
HOSPITAL OUTPT CLINIC VISIT 120 120
86140
C-REACTIVE PROTEIN 100 100
97140
MANUAL THERAPY 1/> REGIONS 97 103
73200
CT UPPER EXTREMITY W/O DYE 90 90
G1004
CDSM NDSC 74 76
80053
COMPREHEN METABOLIC PANEL 71 71
20611
DRAIN/INJ JOINT/BURSA W/US 70 70
85652
RBC SED RATE AUTOMATED 70 70

* Derived from 100% 2021 Outpatient (Fee-for-Service) Standard Analytical File.



M25.411 related to the following DRG Codes:

564-566






CodeMap¨ is a Registered Trademark of Wheaton Partners, LLC.