F33.1 - Major depressive disorder, recurrent, moderate

Clinical Definition

Compression of the shoulder nerve roots (nerve root syndrome) occurs when the nerve roots branching off the spinal cord in the neck region become compressed or irritated, specifically affecting the shoulder area. This typically presents as radiating pain, numbness, or weakness in the shoulder region.

Documentation Requirements

• Location and laterality (right, left, or bilateral shoulder)

• Anatomical site of nerve root compression (specific cervical level if known)

• Clinical manifestations:

  • Pain patterns

  • Sensory changes

  • Motor deficits

• Underlying cause (if known):

  • Disc herniation

  • Spinal stenosis

  • Degenerative changes

• Acuity (acute, chronic, or acute-on-chronic)

• Associated neurological findings

• Objective test results (EMG/NCS, MRI findings)

Common Synonyms

• Pinched nerve in neck affecting shoulder

• Cervical radiculopathy with shoulder involvement

• Shoulder nerve impingement

• Cervical nerve root irritation

• Radiating shoulder pain from neck

Coding Conflicts

Excludes1:

• Brachial plexus disorders

• Thoracic outlet syndrome

• Peripheral nerve entrapment of shoulder

Excludes2:

• Cervicalgia without radiculopathy

• Shoulder pain without neurological involvement

• Rotator cuff syndrome

Scribing.io Automation

The AI scribe system automatically identifies and captures:

• Anatomical terminology related to nerve compression

• Neurological exam findings

• Pain descriptions and patterns

• Imaging report findings

• Treatment plans specific to nerve root compression

• Follow-up documentation requirements

The system flags incomplete documentation when key elements are missing, particularly laterality and specific neurological findings.