Knee Injury ICD-10-CM Codes

What ICD-10 codes are used for knee injury?

A knee injury can affect anyone, from athletes to everyday individuals, and often results in pain, swelling, or limited movement. Whether caused by sudden trauma or gradual wear and tear, proper diagnosis and treatment are key to recovery.

In billing, proper coding is essential because it ensures accurate reimbursement, reduces claim denials, and supports clear communication between providers and insurers. Here are some ICD codes for knee injury:

1. S80.00XA - Contusion of unspecified knee, initial encounter: Use this if your patient is confirmed to have a contusion of the knee, but the specific knee is currently unknown. If the location has been confirmed, please use S80.01XA for the right kee, S80.02XA for left. Replace the A with D in the code for subsequent encounter cases, and replaced A or D with S for sequela. These apply to the initial encounter codes below.
2. S80.211A - Abrasion, right knee, initial encounter: Use this if your patient is confirmed to have an abrasion on the right knee.
3. S80.212A - Abrasion, left knee, initial encounter: Use this if your patient is confirmed to have an abrasion on the left knee.
4. S83.104A - Unspecified dislocation of right knee, initial encounter: Use this if your patient is confirmed to have a right knee dislocation, but the specific kind of dislocation isn't known yet.
5. S83.105A - Unspecified dislocation of left knee, initial encounter: Same as the previous code, but for the left knee.
6. S83.91XA - Sprain of unspecified site of right knee, initial encounter: Use this if your patient is confirmed to have a right knee sprain, but the specific site isn't known yet.
7. S83.92XA - Sprain of unspecified site of left knee, initial encounter: Same as the previous code, but for the left knee.
8. S89.91XA - Unspecified injury of right lower leg, initial encounter: Use this if your patient is confirmed to have an injury of the right lower leg that includes the knee, but the specific type of injury isn't known.
9. S89.92XA - Unspecified injury of left lower leg, initial encounter: Same as the previous code, but for the left lower leg and knee.

Which knee injury ICD codes are billable?

The codes are billable as they serve as precise identifiers for various types of injuries and conditions, enabling accurate categorization and reimbursement. Healthcare providers can submit these codes on claims to insurance companies for proper compensation and coverage.

Clinical information

• The knee is a complex articulation composed of bones, ligaments, tendons, and cartilage.
• Various factors like falls, sports-related incidents, and overuse can lead to knee injuries.
• The primary knee injuries encompass sprains, tears, and fractures.
• Sprains involve harm to the supportive ligaments of the knee joint.
• Tears signify damage to the cushioning cartilage or meniscus safeguarding the knee joint.
• Fractures denote fractures in the bones within the knee joint.
• Knee injuries can result in diverse symptoms, such as pain, swelling, stiffness, and challenges in knee mobility.
• The extent of symptoms hinges on the type and severity of the injury.
• Treatment for knee injuries will differ based on the particular injury.
• Minor injuries might self-recover with rest, ice, compression, and elevation (RICE).
• More severe injuries might necessitate surgical intervention.
• Rehabilitation holds significance following knee injuries, aiding the knee's recovery of strength and functionality.

Synonyms Include:

• Knee trauma
• Knee impairment
• Knee ligament tear
• Kneecap injury
• Patellar injury

Synonyms include

• Knee trauma
• Knee impairment
• Knee ligament tear
• Kneecap injury
• Patellar injury
• Unspecified superficial injury of the knee
• Meniscus current injury of the knee
• Knee pain due to injury
• Lower leg traumatic amputation from the knee
• Superficial bite on the knee
• Other superficial bite on the knee
• Anterior cruciate ligament injury
• Posterior cruciate ligament injury

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