Adhesive Capsulitis of the Shoulder N010

Current RMA Instruments
Reasonable Hypothesis SOP
72 of 2020
Balance of Probabilities SOP
73 of 2020
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 726.0
  • ICD-10-AM Codes: M75.0
Brief description

Adhesive capsulitis involves shoulder pain and the gradual loss of active and passive shoulder movement, with partial or complete resolution over months or years. 

Confirming the diagnosis

The diagnosis is made on clinical grounds, based on medical history and physical examination.  Diagnostic imaging is generally not helpful, except to eliminate other conditions.

The relevant medical specialist is an orthopaedic surgeon or a rheumatologist.

Additional diagnoses covered by SOP
  • Frozen shoulder
Conditions not covered by SOP
  • Rotator cuff syndrome*

* another SOP applies

Clinical onset

Clinical onset will be at the time of onset of symptoms that are subsequently confirmed to be due to adhesive capsulitis.

Clinical worsening

The condition is generally self-limiting, although complete resolution may not occur.  Permanent worsening is unlikely to occur.  Available treatment options are generally ineffective and do not improve outcomes.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/b/adhesive-capsulitis-shoulder-n010-m750

Last amended

Rulebase for adhesive capsulitis of the shoulder

<h5><strong>Current RMA Instruments</strong></h5><table border="1" cellspacing="1" cellpadding="1"><tbody><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2020/8318921033/072.pdf&quot; target="_blank">Reasonable Hypothesis SOP</a></address></td><td>72 of 2020</td></tr><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2020/3aaf48722f/073.pdf&quot; target="_blank">Balance of Probabilities SOP </a></address></td><td>73 of 2020</td></tr></tbody></table><h5><strong>Changes from previous Instruments</strong></h5><p><drupal-media data-entity-type="media" data-entity-uuid="95a3c38a-341d-46b9-900c-87cdf5446d7e" data-view-mode="wysiwyg"></drupal-media></p><h5><strong>ICD Coding</strong></h5><ul><li>ICD-9-CM Codes: 726.0</li><li>ICD-10-AM Codes: M75.0</li></ul><h5>Brief description</h5><p>Adhesive capsulitis involves shoulder pain and the gradual loss of active and passive shoulder movement, with partial or complete resolution over months or years. </p><p><strong>Confirming the diagnosis</strong></p><p>The diagnosis is made on clinical grounds, based on medical history and physical examination.  Diagnostic imaging is generally not helpful, except to eliminate other conditions.</p><p>The relevant medical specialist is an orthopaedic surgeon or a rheumatologist.</p><h5><strong>Additional diagnoses covered by SOP</strong></h5><ul><li>Frozen shoulder</li></ul><h5><strong>Conditions not covered by SOP</strong></h5><ul><li>Rotator cuff syndrome*</li></ul><p>* another SOP applies</p><h5>Clinical onset</h5><p>Clinical onset will be at the time of onset of symptoms that are subsequently confirmed to be due to adhesive capsulitis.</p><h5>Clinical worsening</h5><p>The condition is generally self-limiting, although complete resolution may not occur.  Permanent worsening is unlikely to occur.  Available treatment options are generally ineffective and do not improve outcomes.</p><p> </p>

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/adhesive-capsulitis-shoulder-n010-m750/rulebase-adhesive-capsulitis-shoulder

Diabetes mellitus

Current RMA Instruments
Reasonable Hypothesis SOP
72 of 2020
Balance of Probabilities SOP
73 of 2020
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 726.0
  • ICD-10-AM Codes: M75.0
Brief description

Adhesive capsulitis involves shoulder pain and the gradual loss of active and passive shoulder movement, with partial or complete resolution over months or years. 

Confirming the diagnosis

The diagnosis is made on clinical grounds, based on medical history and physical examination.  Diagnostic imaging is generally not helpful, except to eliminate other conditions.

The relevant medical specialist is an orthopaedic surgeon or a rheumatologist.

Additional diagnoses covered by SOP
  • Frozen shoulder
Conditions not covered by SOP
  • Rotator cuff syndrome*

* another SOP applies

Clinical onset

Clinical onset will be at the time of onset of symptoms that are subsequently confirmed to be due to adhesive capsulitis.

Clinical worsening

The condition is generally self-limiting, although complete resolution may not occur.  Permanent worsening is unlikely to occur.  Available treatment options are generally ineffective and do not improve outcomes.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/adhesive-capsulitis-shoulder-n010-m750/rulebase-adhesive-capsulitis-shoulder/diabetes-mellitus

No appropriate clinical management for adhesive capsulitis of the shoulder

Current RMA Instruments
Reasonable Hypothesis SOP
72 of 2020
Balance of Probabilities SOP
73 of 2020
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 726.0
  • ICD-10-AM Codes: M75.0
Brief description

Adhesive capsulitis involves shoulder pain and the gradual loss of active and passive shoulder movement, with partial or complete resolution over months or years. 

Confirming the diagnosis

The diagnosis is made on clinical grounds, based on medical history and physical examination.  Diagnostic imaging is generally not helpful, except to eliminate other conditions.

The relevant medical specialist is an orthopaedic surgeon or a rheumatologist.

Additional diagnoses covered by SOP
  • Frozen shoulder
Conditions not covered by SOP
  • Rotator cuff syndrome*

* another SOP applies

Clinical onset

Clinical onset will be at the time of onset of symptoms that are subsequently confirmed to be due to adhesive capsulitis.

Clinical worsening

The condition is generally self-limiting, although complete resolution may not occur.  Permanent worsening is unlikely to occur.  Available treatment options are generally ineffective and do not improve outcomes.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/adhesive-capsulitis-shoulder-n010-m750/rulebase-adhesive-capsulitis-shoulder/no-appropriate-clinical-management-adhesive-capsulitis-shoulder

Paralysis involving the shoulder

Current RMA Instruments
Reasonable Hypothesis SOP
72 of 2020
Balance of Probabilities SOP
73 of 2020
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 726.0
  • ICD-10-AM Codes: M75.0
Brief description

Adhesive capsulitis involves shoulder pain and the gradual loss of active and passive shoulder movement, with partial or complete resolution over months or years. 

Confirming the diagnosis

The diagnosis is made on clinical grounds, based on medical history and physical examination.  Diagnostic imaging is generally not helpful, except to eliminate other conditions.

The relevant medical specialist is an orthopaedic surgeon or a rheumatologist.

Additional diagnoses covered by SOP
  • Frozen shoulder
Conditions not covered by SOP
  • Rotator cuff syndrome*

* another SOP applies

Clinical onset

Clinical onset will be at the time of onset of symptoms that are subsequently confirmed to be due to adhesive capsulitis.

Clinical worsening

The condition is generally self-limiting, although complete resolution may not occur.  Permanent worsening is unlikely to occur.  Available treatment options are generally ineffective and do not improve outcomes.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/adhesive-capsulitis-shoulder-n010-m750/rulebase-adhesive-capsulitis-shoulder/paralysis-involving-shoulder

Trauma to the shoulder

Current RMA Instruments
Reasonable Hypothesis SOP
72 of 2020
Balance of Probabilities SOP
73 of 2020
Changes from previous Instruments

ICD Coding
  • ICD-9-CM Codes: 726.0
  • ICD-10-AM Codes: M75.0
Brief description

Adhesive capsulitis involves shoulder pain and the gradual loss of active and passive shoulder movement, with partial or complete resolution over months or years. 

Confirming the diagnosis

The diagnosis is made on clinical grounds, based on medical history and physical examination.  Diagnostic imaging is generally not helpful, except to eliminate other conditions.

The relevant medical specialist is an orthopaedic surgeon or a rheumatologist.

Additional diagnoses covered by SOP
  • Frozen shoulder
Conditions not covered by SOP
  • Rotator cuff syndrome*

* another SOP applies

Clinical onset

Clinical onset will be at the time of onset of symptoms that are subsequently confirmed to be due to adhesive capsulitis.

Clinical worsening

The condition is generally self-limiting, although complete resolution may not occur.  Permanent worsening is unlikely to occur.  Available treatment options are generally ineffective and do not improve outcomes.

 

Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/adhesive-capsulitis-shoulder-n010-m750/rulebase-adhesive-capsulitis-shoulder/trauma-shoulder