Find information on Iliotibial Band Syndrome diagnosis, including clinical documentation, medical coding, ICD-10 codes, and common symptoms like lateral knee pain. Learn about ITBS treatment, physical therapy exercises, and documentation requirements for accurate healthcare billing and coding. Explore resources for medical professionals covering IT band syndrome diagnosis, differential diagnosis, and proper coding guidelines.
Also known as
Enthesopathies of lower limb
Painful conditions where tendons/ligaments attach to bone in the lower limb.
Other enthesopathies
Enthesopathies not classified elsewhere in the body.
Myalgia
Muscle pain.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the Iliotibial Band Syndrome (ITBS) specified as right or left?
Yes
Right ITBS?
No
Code M77.40
When to use each related code
| Description |
|---|
| Lateral knee pain from overuse |
| Hip bursitis, lateral hip pain |
| Patellofemoral pain syndrome |
Coding Iliotibial Band Syndrome without specifying right, left, or bilateral can lead to claim rejections and inaccurate data reporting. Use M77.511, M77.512, or M77.519.
Misdiagnosis of other knee conditions as ITBS can impact reimbursement. Accurate documentation differentiating ITBS from similar diagnoses is crucial for proper coding.
Insufficient clinical documentation to support the ITBS diagnosis can cause audit denials. Ensure documentation clearly reflects exam findings and diagnostic criteria for M77.51.
Patient presents with complaints consistent with iliotibial (IT) band syndrome, characterized by lateral knee pain. Onset of pain is reported as [gradual/acute], related to [activity/mechanism of injury]. Pain is described as [sharp/burning/aching] and localized to the lateral aspect of the knee, specifically over the lateral femoral epicondyle. Pain is [exacerbated/relieved] by [activities such as running, cycling, prolonged standing/rest, ice, elevation]. Patient denies any locking, clicking, or giving way of the knee. Physical examination reveals tenderness to palpation over the lateral femoral epicondyle and IT band. Ober's test is [positive/negative]. Noble compression test is [positive/negative]. Range of motion of the knee is [within normal limits/limited] with [degrees of flexion/extension] noted. No effusion or instability is appreciated. Assessment: Iliotibial band friction syndrome. Differential diagnoses considered include lateral meniscus tear, patellofemoral pain syndrome, and referred pain from the lumbar spine. Plan: Conservative management is recommended, including rest, ice, compression, elevation (RICE), nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, and physical therapy focusing on stretching and strengthening exercises for the hip abductors, gluteus medius, and tensor fascia latae. Patient education provided regarding activity modification and proper running mechanics. Follow-up scheduled in [timeframe] to assess response to treatment. ICD-10 code: M77.41.