M24.311 ICD-10-CM Code: Pathological dislocation of right shoulder, not elsewhere classified
Compare with another code for M24.311Check this code on a claim
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- Tabular directives
- 4 Excludes1 · 4 Excludes2
Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.
What you need to know
Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.
- Excludes1Not reported with this code unless documented as unrelated
- congenital dislocation or displacement of joint- see congenital malformations and deformations of the musculoskeletal system (Q65-Q79) (from M24.3)
- current injury - see injury of joints and ligaments by body region (from M24.3)
- recurrent dislocation of joint (M24.4-) (from M24.3)
- current injury - see injury of joint by body region (from M24)
Where it sits Source: CMS/NCHS
Under:Chapter 13: Diseases of the Musculoskeletal System and Connective TissueM00-M25 ArthropathiesM20-M25 Other joint disordersM24 Other specific joint derangementsM24.3 Pathological dislocation of joint, not elsewhere classifiedM24.31 Pathological dislocation of shoulder, not elsewhere classified
Most relevant related codes MedCoder-derived
Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.
- MS-DRG 562 — FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC (MDC 08)
- MS-DRG 563 — FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC (MDC 08)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for M24.311 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026
Trace:FY2027 changesChange historyRelease, file and checksum
Notes without a marker are published on M24.311 itself; “inherited from” names the category or block whose note applies here.
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- congenital dislocation or displacement of joint- see congenital malformations and deformations of the musculoskeletal system (Q65-Q79) inherited from M24.3Compare M24.311 vs Q65 →
- current injury - see injury of joints and ligaments by body region inherited from M24.3
- recurrent dislocation of joint (M24.4-) inherited from M24.3Compare M24.311 vs M24.4 →
- current injury - see injury of joint by body region inherited from M24
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- ganglion (M67.4) inherited from M24Compare M24.311 vs M67.4 →
- snapping knee (M23.8-) inherited from M24Compare M24.311 vs M23.8 →
- temporomandibular joint disorders (M26.6-) inherited from M24Compare M24.311 vs M26.6 →
- joints of the spine (M40-M54) inherited from M20-M25Compare M24.311 vs M40 →
Coder workflow for M24.311
MedCoder structured workflow — derived from this code’s own official record
Before you code M24.311
- “Other” (NEC) means the condition is specified in the record but no dedicated code captures it. Confirm the documented form is not one a sibling code names before settling on M24.311; if the record states no specifics at all, the unspecified sibling applies instead. “Other” codes are for documented conditions the classification gives no specific code; “unspecified” codes are for records lacking the detail (Guidelines I.A.9.a, I.A.9.b).
See the relationships section · Guide: Other vs unspecified (NEC vs NOS) →
- Laterality is coded in this family. Confirm the side documented — right, left, or bilateral — and select the matching code (this page’s code: right). The unspecified-side code applies only when the record states no side. Laterality is assigned from the documented side; where a bilateral code exists and both sides are documented, it is used instead of two unilateral codes (Guidelines I.B.13).
- Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with M24.311. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).
Choose the right path
- Does the documentation support a condition named in M24.311’s Excludes1 note?
Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
No → Continue.ReviewM24.4
- Is the side documented?
Yes → Select the code for the documented side (or the bilateral code when both sides are documented and one exists).
No → Use the unspecified-side code only when the record states no side; a query is the alternative.
Consider M24.311. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- Laterality
- Right, left or bilateral as documented; unspecified only when the record states no side (Guidelines I.B.13).
- Any detail beyond this code’s title
- What the record states that a more specific code would capture — or its absence, which itself supports the unspecified code.
Official instructions as workflow
Excludes1 — check before selecting M24.311(4 notes)
Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with M24.311: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.
CompareM24.4
See the official tabular notes · Guidelines I.A.12.a
Excludes2 — not part of M24.311(4 notes)
Coding workflow: The conditions named in this note are not included in M24.311. When the record documents both, both may be reported; the note is a boundary, not a prohibition.
See the official tabular notes · Guidelines I.A.12.b
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: Both the condition M24.311 describes and a condition named in its Excludes1 note are documented for the same encounter.
Coding question: Can both codes be reported?
Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.
Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).
ReviewM24.4
Documentation: The record documents the condition on one side only.
Coding question: Which code in this family applies?
Path: Select the sibling code for the documented side.
Reason: Laterality is assigned from the documented side; the unspecified-side code is for records that state no side (Guidelines I.B.13).
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Coding context
Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Decision Points
The directives on this code's own record, as a pre-claim checklist.
- Laterality is coded in this family. Confirm the documented side matches the code — the opposite-side siblings are in the relationships section. See the opposite-side sibling codes
- 4 Excludes1 entries — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
- 4 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes
Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder-derived relationships — computed from published CMS and AHRQ datasets
MS-DRG Grouper Relationships (FY2027)
Potential MS-DRG participation — not a DRG assignment.
FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.
Named in the grouper logic of 2 MS-DRGs: DRG 562 (MDC 08), DRG 563 (MDC 08).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):MUS007 — Other specified joint disorders (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same condition, different side
Same title, differing only in which side of the body it names: right, left, bilateral or unspecified.
M24.312 — Pathological dislocation of left shoulder, not elsewhere classified (left)Compare M24.311 vs M24.312 →, M24.319 — Pathological dislocation of unspecified shoulder, not elsewhere classified (unspecified)Compare M24.311 vs M24.319 →
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Other specified joint disorders).
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Dislocation”; these codes share that main term but sit in a different category of the Tabular List.
H04.16 — Lacrimal gland dislocation (lacrimal gland), H27.10 — Unspecified dislocation of lens (lens), H27.11 — Subluxation of lens (lens, partial), H27.12 — Anterior dislocation of lens (lens, anterior), H27.13 — Posterior dislocation of lens (lens, posterior), J34.2 — Deviated nasal septum (septum), M22.0 — Recurrent dislocation of patella (patella, recurrent), M22.1 — Recurrent subluxation of patella (patella, recurrent, incomplete), M23.8X — Other internal derangements of knee (knee, old), M43.3 — Recurrent atlantoaxial dislocation with myelopathy (recurrent, vertebra, atlantoaxial, with myelopathy), M43.4 — Other recurrent atlantoaxial dislocation (recurrent, vertebra, atlantoaxial), M43.5 — Other recurrent vertebral dislocation (recurrent, vertebra), P11.5 — Birth injury to spine and spinal cord (spine, due to birth trauma), Q12.1 — Congenital displaced lens (lens, congenital), Q65.0 — Congenital dislocation of hip, unilateral (hip, congenital, unilateral), Q65.1 — Congenital dislocation of hip, bilateral (hip, congenital, bilateral), Q65.2 — Congenital dislocation of hip, unspecified (hip, congenital), Q65.3 — Congenital partial dislocation of hip, unilateral (hip, congenital, partial, unilateral), Q65.4 — Congenital partial dislocation of hip, bilateral (hip, congenital, partial, bilateral), Q65.5 — Congenital partial dislocation of hip, unspecified (hip, congenital, partial), +113 more
Contextual Map
Every relationship of M24.311 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- M00-M99 — Chapter 13: Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) (M00-M99)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- M00-M25 — Arthropathies[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- M20-M25 — Other joint disorders[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
Clinical classification (CCSR)
- MUS007 — Other specified joint disorders[CCSR]— AHRQ CCSR for ICD-10-CM Diagnoses (HCUP)
MS-DRG Grouper
- DRG 562 — FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC[MS-DRG]: “FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
- DRG 563 — FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC[MS-DRG]: “FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC (MDC 08)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
MDC crossing
- MDC 08 — Diseases and Disorders of the Musculoskeletal System and Connective Tissue[MDC crossing]: “Diseases and Disorders of the Musculoskeletal System and Connective Tissue — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 18,439 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027
Nearest codes (40)
- M24 — Other specific joint derangements[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- M24.24 — Disorder of ligament, hand[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- M24.241 — Disorder of ligament, right hand[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- M24.242 — Disorder of ligament, left hand[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- M24.249 — Disorder of ligament, unspecified hand[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- M24.25 — Disorder of ligament, hip[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- M24.251 — Disorder of ligament, right hip[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- M24.252 — Disorder of ligament, left hip[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2027
- and 32 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Reference
Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
- Inpatient payment groups Official source data
- CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder-derived relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder editorial explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "M24.311 — Pathological dislocation of right shoulder, not elsewhere classified." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/m24.311-pathological-dislocation-of-right-shoulder-not-elsewhere-classified
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionPathological dislocation of right shoulder, not elsewhere classified
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to M24.311 in its code family, with their registry titles.
- M24.28 — Disorder of ligament, vertebrae
- M24.29 — Disorder of ligament, other specified site
- M24.3 — Pathological dislocation of joint, not elsewhere classified
- M24.30 — Pathological dislocation of unspecified joint, not elsewhere classified
- M24.31 — Pathological dislocation of shoulder, not elsewhere classified
- M24.312 — Pathological dislocation of left shoulder, not elsewhere classified
- M24.319 — Pathological dislocation of unspecified shoulder, not elsewhere classified
- M24.32 — Pathological dislocation of elbow, not elsewhere classified
- M24.321 — Pathological dislocation of right elbow, not elsewhere classified
- M24.322 — Pathological dislocation of left elbow, not elsewhere classified