Presence of unspecified artificial shoulder joint

This code indicates that a patient has an artificial shoulder joint, but the specific type of prosthesis (e.g., total, hemi, reverse) is not documented or known. It signifies a history of shoulder arthroplasty without further detail regarding the implant's design.

Use this code when a patient presents with a known artificial shoulder joint, but the medical record lacks documentation specifying whether it's a total, hemi, or reverse shoulder replacement. This is appropriate for follow-up visits, medication management, or other encounters where the presence of the prosthesis is relevant but its exact nature is unspecified.

• Only use this code when the specific type of artificial shoulder joint is truly unknown or undocumented.
• Avoid using this code if the documentation clearly specifies a total, hemi, or reverse shoulder arthroplasty; instead, use the more specific Z96.611, Z96.612, or Z96.613.
• Query the provider for more specific documentation if possible to ensure the most precise code is assigned.