Primary osteoarthritis, right shoulder
ICD-10 Code: M19.011 · Body Part: Shoulder
QME Evaluation Process
Shoulder ROM testing, imaging review for joint space narrowing. Apportionment analysis for pre-existing degenerative changes vs industrial contribution.
Typical Impairment Rating
10-25% UE (6-15% WPI) based on ROM loss and arthroplasty status
AMA Guides Edition
5th Edition
Common Treatments
Related Conditions
Body Part Guide
Shoulder Evaluation Guide
Impairment rating methods, common conditions, and QME evaluation protocols
QME Specialties for Primary osteoarthritis, right shoulder
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What is Primary osteoarthritis, right shoulder (M19.011)?
Primary osteoarthritis, right shoulder is an ICD-10 diagnosis code (M19.011) classified under Musculoskeletal conditions. It affects the Shoulder and is commonly encountered in California workers' compensation claims. QME physicians evaluate this condition using AMA Guides 5th Edition protocols.
How is M19.011 rated for impairment?
The typical whole person impairment (WPI) range for Primary osteoarthritis, right shoulder is 10-25% UE (6-15% WPI) based on ROM loss and arthroplasty status. The exact rating depends on clinical findings, imaging, and the evaluation method (DRE or ROM) chosen by the QME physician per AMA Guides 5th Edition.
What is the QME evaluation process for M19.011?
Shoulder ROM testing, imaging review for joint space narrowing. Apportionment analysis for pre-existing degenerative changes vs industrial contribution.
What treatments are common for Primary osteoarthritis, right shoulder?
Common treatments for Primary osteoarthritis, right shoulder include Physical therapy, Intra-articular injection, Total shoulder arthroplasty, Reverse shoulder arthroplasty. Treatment appropriateness and outcomes are considered during the QME evaluation when determining permanent and stationary status and apportionment.