M25.11
Header — not billableFistula, shoulder
The ICD-10 code for fistula, shoulder is M25.11.
M25.11 is a non-billable header code. It groups related conditions but cannot be used on its own for reimbursement — select one of the 3 more specific codes below.
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •This is a non-billable header code. Documentation must support a more specific child code before this diagnosis can be reported on a claim.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Child codes under M25.11
Related codes in this category
- M25.10Fistula, unspecified joint
- M25.12Fistula, elbownon-billable header
- M25.13Fistula, wristnon-billable header
- M25.14Fistula, handnon-billable header
- M25.15Fistula, hipnon-billable header
- M25.16Fistula, kneenon-billable header
- M25.17Fistula, ankle and footnon-billable header
- M25.18Fistula, other specified site
- M25.11Fistula, shouldernon-billable header