Enteropathic arthropathies, right shoulder

This code signifies inflammation of the right shoulder joint that is associated with an underlying inflammatory bowel disease (IBD) such as Crohn's disease or ulcerative colitis. It represents a reactive arthritis where the joint symptoms are secondary to the gastrointestinal pathology.

Apply this code when documentation clearly links a patient's right shoulder arthritis to a diagnosis of enteropathic disease. This typically occurs in patients with known IBD who present with acute or chronic inflammatory arthropathy affecting the right shoulder. Supporting documentation should include a confirmed IBD diagnosis and physician notes identifying the right shoulder as the affected joint.

• Ensure the documentation explicitly states "right shoulder" as the affected joint; laterality is critical.
• Always sequence the underlying enteropathic disease (e.g., Crohn's disease, ulcerative colitis) as the primary diagnosis, followed by this code.
• Differentiate from other forms of inflammatory arthritis (e.g., rheumatoid arthritis, psoriatic arthritis) which have distinct coding pathways.