ICD-10 M19.019
Billable / SpecificPrimary osteoarthritis, unspecified shoulder
About ICD-10-CM M19.019
ICD-10-CM code M19.019 represents Primary osteoarthritis, unspecified shoulder. This is a billable/specific code in the Musculoskeletal and Connective Tissue chapter (block M19). The 2026 edition of ICD-10-CM M19.019 became effective on October 1, 2025.
Medicare LCD Coverage for M19.019
Local Coverage Determinations (LCDs) from CMS MACs that list M19.019 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing M19.019.
1 Cigna
CPT Codes Commonly Billed with M19.019
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert M19.019 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| M19.019 | 71511 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To M19.019
Other codes in section M15-M19 (Osteoarthritis).
ICD-10 M19.019, Billing FAQ
Is ICD-10 code M19.019 billable? +
Yes, M19.019 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What ICD-9 codes does M19.019 map to? +
Per CMS GEMs, M19.019 maps to ICD-9 codes: 71511. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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