Michael Posted Fri 12th of August, 2016 12:23:51 PM
A 63-year-old woman presented to the clinic with hemiplegic Post-Stroke Shoulder Pain (PSP) after a cerebrovascular accident 9 months prior. She complained of chronic, severe intractable burning pain of the upper left extremity, from her shoulder to her arm, which she rated a 9/10. She also presented with approximately 2.5cm Glenohumeral subluxation. The patient previously failed multiple treatment modalities including physical therapy, opiates, steroid injections, Botox injections, and baclofen.[ICD-10-CM codes needed]
SuperCoder Answered Tue 16th of August, 2016 06:14:33 AM
Use ICD-10 CM Code S43.002A (For Initial Encounter) Or S43.002D (For Subsequent Encounter) along with I69.852 (For Left Dominant side) or I69.854 (For Left Not-Dominant Side).