Calcific tendinitis, unspecified upper arm

This code signifies inflammation of a tendon in the upper arm due to calcium deposits. It represents a non-traumatic condition characterized by pain and restricted movement in the shoulder or upper arm region, without further specification of laterality.

Apply this code when documentation indicates calcific tendinitis affecting the upper arm, and the specific side (left or right) is not documented. Supporting documentation would include physician notes detailing symptoms like shoulder pain, limited range of motion, and imaging reports (e.g., X-ray, ultrasound) confirming calcium deposits within a tendon of the upper arm.

• Always seek clarification from the provider if the laterality (left or right upper arm) is not specified, as more specific codes exist.
• Do not use this code if the tendinitis is explicitly stated as non-calcific; instead, consider codes from the M75 series for other shoulder lesions.
• Ensure the documentation clearly links the calcium deposits to the tendinitis, rather than just incidental findings.