Icd 10 Bilateral Knee Pain

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Icd 10 Bilateral Knee Pain
From Wikipedia, the free encyclopedia A medical classification is used to transform descriptions of medical diagnoses or procedures into standardized statistical code in a process known as clinical coding, Diagnosis classifications list diagnosis codes, which are used to track diseases and other health conditions, inclusive of chronic diseases such as diabetes mellitus and heart disease, and infectious diseases such as norovirus, the flu, and athlete’s foot,

  • statistical analysis of diseases and therapeutic actions
  • reimbursement (e.g., to process claims in medical billing based on diagnosis-related groups )
  • knowledge-based and decision support systems
  • direct surveillance of epidemic or pandemic outbreaks

There are country specific standards and international classification systems.

What is the ICD code for bilateral knee strain?

ICD-10 code: S83.6 Sprain and strain of other and unspecified parts of knee.

What is the ICD-10 for both knees?

ICD-10 Code for Bilateral primary osteoarthritis of knee- M17.0 – Codify by AAPC.

What is the ICD-10 code for bilateral knee ligament injury?

ICD-10 code S83 for Dislocation and sprain of joints and ligaments of knee is a medical classification as listed by WHO under the range – Injury, poisoning and certain other consequences of external causes.

What is the ICD code for knee strain?

ICD-10 Code for Sprain of unspecified site of left knee- S83.92- Codify by AAPC.

What is the ICD-10 code for Patellofemoral Pain both knees?

Causes and Symptoms of Patellofemoral Syndrome – Patellofemoral syndrome is the most common running injury seen by sports medicine specialists. Pain due to overloading, overuse and misuse of the patellofemoral joint usually results from vigorous athletics or training, previous dislocation or other knee trauma, and alignment issues with the kneecap, weak thigh muscles, tight Achilles tendons and hamstrings, and poor foot support can also cause the condition.

The patellofemoral compartment has also been found to be at the highest risk of developing osteoarthritis after ACL injuries. This condition is called patellofemoral osteoarthritis. Common symptoms include pain in and around the kneecap, pain, weakness or feelings of instability after sitting for a long time with the knees bent.

The area of the kneecap can also become tender to the touch. Popping, crunching and clicking sounds when the knee is moved is another common symptom. Patellofemoral pain and stiffness usually make it difficult to climb stairs, do activities that require bending the knees, and other everyday activities that stress the joint.

  1. Diagnosis The area of the kneecap will be examined to check for tenderness, and evaluate the stability, alignment and strength of the knee and thigh muscles.
  2. The physical exam will also include a biomechanical assessment to check for muscle weakness at the hip.
  3. Blood tests and diagnostic imaging tests such as an x-ray or MRI may be ordered for exclusion of all other conditions that may cause anterior knee pain.
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ICD-10 Codes The ICD-10 code for Patellofemoral disorders is M22.2. Patellofemoral disorders, unspecified knee M22.2X9 is a billable/specific ICD-10 code that can be used to indicate a diagnosis for reimbursement purposes.

  • M22 – Disorder of patella
  • M22.0 – Recurrent dislocation of patella
    • M22.00 – Recurrent dislocation of patella, unspecified knee
    • M22.01 – Recurrent dislocation of patella, right knee
    • M22.02 – Recurrent dislocation of patella, left knee
  • M22.1 – Recurrent subluxation of patella
    • M22.10 – Recurrent subluxation of patella, unspecified knee
    • M22.11 – Recurrent subluxation of patella, right knee
    • M22.12 – Recurrent subluxation of patella, left knee
  • M22.2 – Patellofemoral disorders
    • M22.2X – Patellofemoral disorders
    • M22.2X1 – Patellofemoral disorders, right knee
    • M22.2X2 – Patellofemoral disorders, left knee
    • M22.2X9 – Patellofemoral disorders, unspecified knee
  • M22.3 – Other derangements of patella
    • M22.3X – Other derangements of patella
    • M22.3X1 – Other derangements of patella, right knee
    • M22.3X2 – Other derangements of patella, left knee
    • M22.3X9 – Other derangements of patella, unspecified knee
  • M22.4 – Chondromalacia patellae
    • M22.40 – Chondromalacia patellae, unspecified knee
    • M22.41- Chondromalacia patellae, right knee
    • M22.42 – Chondromalacia patellae, left knee
  • M22.8 – Other disorders of patella
    • M22.8X – Other disorders of patella
    • M22.8X1 – Other disorders of patella, right knee
    • M22.8X2 – Other disorders of patella, left knee
    • M22.8X9 – Other disorders of patella, unspecified knee
  • M22.9 – Unspecified disorder of patella
    • M22.90 – Unspecified disorder of patella, unspecified knee
    • M22.91 – Unspecified disorder of patella, right knee
    • M22.92 – Unspecified disorder of patella, left knee
  • Treatment
  • Treatment depends on individual patient considerations such as age, overall health and history, extent of pain, potential for compliance with specific medicines, procedures, or therapies, expected duration of the condition, and opinions or preference.
  • Treatments for patellofemoral syndrome include:
  • RICE: When used within 72 hours of injury, the Rest, Ice, Compression, Elevation (RICE) protocol is a very effective way to reduce pain and swelling in many cases.
  • Medication: Over-the-counter anti-inflammatory medications (NSAIDs) can help ease the pain and swelling associated with this knee condition.
  • Physical therapy (PT): A customized PT program can include strengthening exercises, coordination training, braces, patella taping, shoe inserts, and massage, and activity modification to minimize damage to the knee and prevent reinjury.
  • Surgery: Surgical treatment for patellofemoral pain is rarely needed and is recommended only for severe cases that do not respond to conservative treatment. Surgery for patellofemoral pain include arthroscopic surgery and arthroplasty. Arthroscopic surgery is a minimally invasive procedure to remove damaged cartilage which can ease tension and improve mobility. Arthroplasty is a surgical procedure, in which the joints are replaced, resurfaced and realigned by using procedures like osteotomy or other procedures. Operations for patellofemoral injury are performed to realign the angle of the kneecap to allow it to track properly or ease pressure on the cartilage.
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CPT Codes for Arthroscopy and Arthroplasty Knee Procedures Knee Arthroscopy CPT codes 29850 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; without internal or external fixation (includes arthroscopy) 29851 – Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy) 29855 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy) 29856 – Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when performed (includes arthroscopy) 29866 – Arthroscopy, knee, surgical; osteochondral autograft(s) (e.g., mosaicplasty) (includes harvesting of the autograft) 29867 – Arthroscopy, knee, surgical; osteochondral allograft (e.g., mosaicplasty) 29868 – Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral 29870 – Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) 29875 (Limited synovectomy, “separate procedure”) 29876 – Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (e.g., medial or lateral) 29877 – Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) 29879 – Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture 29880 – Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) 29881 – Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) 29882 – Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) 29883 – Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) 29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) 29888 – Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction 29889 – Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction

  1. HCPCS Level II code G0289 Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty)
  2. Knee Arthroplasty CPT Codes
  3. 27438 Arthroplasty, patella; with prosthesis 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component
  4. 27488 Removal of prosthesis, including total knee prosthesis, methyl methacrylate with or without insertion of spacer, knee
  5. Coding Guidance

The Centers for Medicare and Medicaid Services (CMS) provides the following guidance (https://www.cms.gov/files/document/chapter4cptcodes20000-29999final11.pdf) on the use of the Arthroscopic Knee Procedure CPT codes:

  • CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (e.g., osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) should not be reported with other knee arthroscopy codes (29866-29889).
  • Since CPT codes 29880 and 29881 include debridement/shaving of articular cartilage of any compartment, HCPCS code G0289 may be reported with CPT codes 29880 or 29881 only if reported for removal of a loose body or foreign body from a different compartment of the same knee.
  • HCPCS code G0289 shall not be reported for removal of a loose body or foreign body or debridement/shaving of articular cartilage from the same compartment as another knee arthroscopic procedure.
  • Arthroscopic synovectomy of the knee may be reported with CPT codes 29875 (Limited synovectomy, “separate procedure”) or 29876 (Major synovectomy of two or three compartments).
  • CPT code 29875 shall not be reported with another arthroscopic knee procedure on the ipsilateral knee.
  • CPT code 29876 may be reported for a medically reasonable and necessary synovectomy with another arthroscopic knee procedure on the ipsilateral knee if the synovectomy is performed in 2 compartments on which another arthroscopic procedure is not performed.
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A 2020 AAPC article provides further guidance:

  • If chondroplasty is the only procedure performed, 29877 is the appropriate code for all payers, including Medicare.
  • Codes 29877 and G0289 should never be reported with meniscectomy codes 29880 or 29881 for the same knee because the chondroplasty is included in their definitions.
  • For a non-Medicare patient, loose or foreign body removal should be reported using CPT 29874 with a primary service such as meniscectomy or meniscal repair (even from within the same compartment), with modifier 59 Distinct procedural service
  • According to CPT, as long as pathologic synovial disease is present, 29876 can be reported with another arthroscopic knee procedure, even if it occurs in the same compartment – excluding procedures for removal of loose/foreign body or chondroplasty.

Although patellofemoral syndrome (PFS) is a common condition and knee arthroscopy is widely performed, reporting diagnosis and treatment can be complicated. Accurate coding is essential for proper payment for procedures performed. Distinguishing between diagnostic and therapeutic procedures, understanding the code definitions, and knowing Medicare and CPT guidelines is essential for correct billing.

What is the ICD-10 code for osteoarthritis of both knees unspecified?

ICD-10 code M17.9 for Osteoarthritis of knee, unspecified is a medical classification as listed by WHO under the range – Arthropathies.

What is the ICD-10 for multiple joint?

ICD-10 code: M25.50 Pain in joint Multiple sites.

What is the ICD-10 code for right knee unspecified?

ICD-10 code S83.91XA for Sprain of unspecified site of right knee, initial encounter is a medical classification as listed by WHO under the range – Injury, poisoning and certain other consequences of external causes.

What is the ICD-10 code for multiple ligament knee injury?

ICD-10 code: S83.7 Injury to multiple structures of knee.

What is ICD-9 knee ligament injury?

ICD-9 code 844.2 for Sprain of cruciate ligament of knee is a medical classification as listed by WHO under the range -SPRAINS AND STRAINS OF JOINTS AND ADJACENT MUSCLES (840-848).

What is the ICD-10 code for bilateral knee gonarthrosis?

ICD-10 code: M17.0 Primary gonarthrosis, bilateral.

What is the ICD-9 code for osteoarthritis of both knees?

ICD-9 Code 715.96 -Osteoarthrosis unspecified whether generalized or localized involving lower leg- Codify by AAPC.