ICD-10-CM 2027
ICD-10 code for shoulder pain
Confirmed by the official ICD-10-CM index entry “pain (s) › joint › shoulder”. Page updated September 29, 2026.
About coding shoulder pain
The ICD-10-CM code for shoulder pain is M25.519 (Pain in unspecified shoulder). The official index lists 2 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on M25.519.
Within M25.51, choose M25.519 (unspecified shoulder) only when documentation doesn't support a more specific option: right shoulder (M25.511) and left shoulder (M25.512).
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 555 (Signs and Symptoms of Musculoskeletal System and Connective Tissue with MCC, relative weight 1.2913) and DRG 556 (Signs and Symptoms of Musculoskeletal System and Connective Tissue without MCC, relative weight 0.8211), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
Related Shoulder pain codes
Common questions about shoulder pain ICD-10 codes
What is the ICD-10 code for shoulder pain?
- M25.519 — Pain in unspecified shoulder. More specific codes apply when the documentation supports them: M25.511, M25.512.
What is the ICD-10 code for pain in right shoulder?
- M25.511 — Pain in right shoulder.
What is the ICD-10 code for pain in left shoulder?
- M25.512 — Pain in left shoulder.
Is M25.519 billable?
- Yes. M25.519 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can M25.519 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict M25.519 as a principal diagnosis.
Is M25.519 a CC or MCC?
- No. M25.519 is neither a CC nor an MCC under MS-DRG v44.0.