Orthopedic Coding Alert

Reader Question:

Chart Charcot Joint's Via Anatomy

Question: I have an operative report in front of me with a puzzling diagnosis. The encounter notes indicate that the patient suffered from Charcot’s joint in the shoulder. What ICD-10 code best represents this condition?

Indiana Subscriber

Answer: Also called neuropathic joint or Charcot arthropathy, Charcot’s joint is “a progressive degenerative/destructive joint disorder in patients with abnormal pain sensation and proprioception,” according to radiopaedia.org.

Depending on the specifics of the patient’s injury, you’ll choose one of the following ICD-10 codes for this patient:

  • M14.611 (Charcot’s joint, right shoulder)
  • M14.612 (… left shoulder)
  • M14.619 (… unspecified shoulder).