AutoICD API

M25.11

Non-billable

Fistula, shoulder

Fistula, shoulder

This is a header/category code. For billing purposes, use a more specific child code from the list below.

Status

Non-billable / Header

Block

M20-M25

Parent Code

M25.1

Child Codes

3

Coding Notes

Excludes 2

Conditions not included here, but the patient may have both

  • arthropathic psoriasis (L40.5-)
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • compartment syndrome (traumatic) (T79.A-)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
  • joints of the spine (M40-M54)
  • abnormality of gait and mobility (R26.-)
  • acquired deformities of limb (M20-M21)
  • calcification of bursa (M71.4-)
  • calcification of shoulder (joint) (M75.3)
  • calcification of tendon (M65.2-)
  • difficulty in walking (R26.2)
  • temporomandibular joint disorder (M26.6-)

Child Codes (3)

M25.111

Fistula, right shoulder

BillableM25.112

Fistula, left shoulder

BillableM25.119

Fistula, unspecified shoulder

Billable

Also Known As / Clinical Terms

UMLS

Frequently Asked Questions

What is the ICD-10 code for fistula, shoulder?

The ICD-10-CM code for fistula, shoulder is M25.11. The full clinical description is "Fistula, shoulder". M25.11 is a non-billable header code. Use a more specific child code for billing purposes.

What does ICD-10 code M25.11 mean?

ICD-10-CM code M25.11 represents "Fistula, shoulder". It is classified under Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue and is a non-billable header code. Use a more specific child code for billing purposes.

Is M25.11 a billable code?

No, M25.11 is a non-billable header code. You need to use one of its more specific child codes for billing. There are 3 child codes under M25.11.

What chapter is M25.11 in?

M25.11 is in Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (codes M00-M99).

What are the subcategories under M25.11?

M25.11 has 3 child codes, including: M25.111 (Fistula, right shoulder), M25.112 (Fistula, left shoulder), M25.119 (Fistula, unspecified shoulder).

What are the UMLS CUIs for M25.11?

M25.11 is linked to 1 UMLS Concept Unique Identifier: C2894939. The UMLS (Unified Medical Language System) integrates multiple biomedical vocabularies maintained by the U.S. National Library of Medicine.

Automate ICD-10 Coding With AI

Send clinical text to the AutoICD API and get back structured ICD-10 codes with confidence scores. Integrates into any EHR or billing system in minutes.

Try FreeView API Docs

Includes SNOMED Clinical Terms® (SNOMED CT®) used by permission of SNOMED International. Includes content from the UMLS Metathesaurus, courtesy of the U.S. National Library of Medicine.