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S83.289A
ICD-10-CM
Lateral Meniscus Tear

Find information on Lateral Meniscus Tear diagnosis, including clinical documentation, medical coding, ICD-10 codes, and healthcare resources. Learn about symptoms, treatment options, and best practices for documenting a Lateral Meniscus Tear in medical records. This resource provides guidance for accurate coding and billing related to Lateral Meniscus Tear injuries, including relevant medical terminology and clinical findings. Explore information pertaining to Lateral Meniscus Tear diagnosis for healthcare professionals, coding specialists, and medical billers.

Also known as

Lateral Meniscal Tear
Tear of Lateral Meniscus

Diagnosis Snapshot

Key Facts
  • Definition : Tear in the C-shaped cartilage of the knee (lateral meniscus), often from twisting or direct impact.
  • Clinical Signs : Knee pain, swelling, stiffness, clicking or popping, limited range of motion, locking sensation.
  • Common Settings : Sports injuries, degenerative changes, trauma. Diagnosed by physical exam and MRI.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC S83.289A Coding
S73.2

Traumatic meniscus tear, knee

Covers tears of the lateral or medial meniscus due to trauma.

M23.2

Internal derangement of knee

Includes various knee problems like meniscus tears or ligament issues.

S73

Other injuries to the knee and lower leg

Encompasses knee injuries not classified elsewhere, including some meniscus tears.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the lateral meniscus tear traumatic?

  • Yes

    Is it specified as acute or chronic?

  • No

    Is it degenerative or other non-traumatic?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Lateral Meniscus Tear
Medial Meniscus Tear
Anterior Cruciate Ligament Tear

Documentation Best Practices

Documentation Checklist
  • Lateral meniscus tear diagnosis documentation
  • ICD-10 code M23.2x, S83.2x, or others per laterality/type
  • Document mechanism of injury (traumatic vs. degenerative)
  • Physical exam: tenderness, McMurray's test, joint line pain
  • Imaging: MRI confirmation of tear, location, and type

Coding and Audit Risks

Common Risks
  • Laterality unspecified

    Coding lacks right or left laterality, leading to claim rejections. Use S73.2XXA/S73.2XXD for medial meniscus with correct laterality codes.

  • Traumatic vs. Degenerative

    Incorrectly coding a degenerative tear as traumatic or vice versa impacts reimbursement. Accurate documentation is crucial for proper M73.2/M23.2 code assignment.

  • Unspecified tear type

    Missing documentation of tear type (bucket handle, flap, etc.) can lead to coding errors and underpayment. CDI can query for specificity to support accurate coding.

Mitigation Tips

Best Practices
  • Document mechanism of injury, onset, location, and type of pain for accurate ICD-10 coding (S83.2-)
  • Use precise anatomical descriptors (e.g., anterior horn, posterior horn, body) in clinical notes for improved CDI
  • Correlate physical exam findings (e.g., McMurray's, Apley's) with imaging results for compliant billing and coding
  • Query physician for clarity if documentation lacks specificity for proper CPT coding (e.g., 29880, 29881)
  • Ensure documentation supports medical necessity for interventions to meet payer requirements and avoid denials

Clinical Decision Support

Checklist
  • 1. Joint line tenderness: Document medial/lateral location.
  • 2. McMurray's test: Positive click/pop? Document details.
  • 3. Thessaly test: Pain/catching at 5/20 degrees? Document.
  • 4. Imaging: MRI confirmation? Document findings (ICD-10 S83.2)
  • 5. Prioritize patient safety: Fall risk assessment documented.

Reimbursement and Quality Metrics

Impact Summary
  • Lateral Meniscus Tear Reimbursement: Coding accuracy impacts payer contracts and claim denials. CPT codes (e.g., 29880-29883) and ICD-10 codes (e.g., S83.2) are crucial for appropriate reimbursement.
  • Quality Metrics Impact: Surgical technique (e.g., repair vs. meniscectomy) influences patient outcomes and hospital quality reporting metrics.
  • Meniscus Tear Coding: Accurate documentation of tear type (e.g., bucket handle, flap) and location affects coding and subsequent reimbursement.
  • Hospital Reporting: Lateral meniscus tear diagnosis data impacts hospital internal quality benchmarks and public reporting initiatives.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code laterality: right/left/bilateral
  • Specify tear type: traumatic/degenerative
  • Document imaging findings for M73.2
  • Include any meniscal procedures
  • Consider associated ACL/MCL codes

Documentation Templates

Patient presents with complaints consistent with a lateral meniscus tear.  Onset of symptoms occurred [Date of onset] following [Mechanism of injury - e.g., twisting injury during sports activity, gradual onset with repetitive squatting].  Patient reports [Character of pain - e.g., sharp, aching, throbbing] pain localized to the lateral aspect of the [Right or Left] knee.  Pain is [Aggravating factors - e.g., exacerbated by weight-bearing, twisting motions] and [Relieving factors - e.g., relieved by rest, ice].  Associated symptoms include [Symptoms - e.g., clicking, popping, locking, swelling, stiffness, giving way].  Physical examination reveals [Positive findings - e.g., tenderness along the lateral joint line, positive McMurray's test, decreased range of motion].  Negative findings include [Negative findings - e.g., no ligamentous instability, intact neurovascular status].  Differential diagnosis includes lateral meniscus tear, ligamentous injury, patellofemoral pain syndrome, and osteoarthritis.  Impression is lateral meniscus tear.  Plan includes [Diagnostic tests - e.g., knee MRI to confirm diagnosis] and [Treatment plan - e.g., conservative management with physical therapy, NSAIDs, and activity modification;  consider orthopedic referral for surgical evaluation if symptoms persist or worsen].  Return to clinic in [Timeframe - e.g., 2-4 weeks] for reevaluation.  ICD-10 code: [Appropriate ICD-10 code - e.g., M23.21] depending on laterality and specifics of the tear.  Medical necessity for diagnostic testing and treatment is documented.