Other instability, right shoulder

This code signifies an abnormal looseness or excessive movement of the right shoulder joint, not specified as recurrent or traumatic. It indicates a chronic or non-acute instability that can lead to pain, weakness, and functional limitations.

Apply this code when documentation specifies right shoulder instability without a clear traumatic origin or a history of repeated dislocations/subluxations. This is appropriate for conditions like multidirectional instability or generalized ligamentous laxity affecting the right shoulder. Support for this code includes physical exam findings of excessive joint play, positive apprehension/relocation tests, and imaging (e.g., MRI) ruling out acute tears or recurrent pathology.

• Differentiate from recurrent instability (M24.411) or traumatic instability (S43.0- series).
• Ensure the laterality (right shoulder) is clearly documented.
• Consider additional codes for underlying causes or associated conditions, such as rotator cuff pathology or labral tears, if present.