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M25.562
ICD-10-CM
Left Knee Conditions

Find information on left knee conditions, including medical coding, clinical documentation, and healthcare resources. Learn about common left knee diagnoses, such as osteoarthritis, meniscus tears, ACL injuries, MCL injuries, patellar tendinitis, bursitis, and knee pain. Explore symptoms, treatment options, and ICD-10 codes related to left knee problems for accurate and efficient medical record keeping. This resource provides valuable information for healthcare professionals, coders, and patients seeking to understand left knee conditions.

Also known as

Left Knee Pain
Left Knee Injury
Left Knee Osteoarthritis

Diagnosis Snapshot

Key Facts
  • Definition : Pain and dysfunction affecting the left knee joint.
  • Clinical Signs : Swelling, stiffness, limited range of motion, pain with activity, tenderness to touch, instability.
  • Common Settings : Primary care, orthopedics, sports medicine, physical therapy, rheumatology.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M25.562 Coding
M22-M23

Internal derangements of knee

Covers tears, dislocations, and other internal knee problems.

M17

Gonarthrosis

Osteoarthritis specifically affecting the knee joint.

S80-S89

Injuries to the knee and lower leg

Includes fractures, sprains, and other injuries around the knee.

M00-M25

Arthopathies

Encompasses various joint diseases, including some affecting the knee.

Code-Specific Guidance

Decision Tree for

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

Is the condition traumatic?

  • Yes

    Fracture?

  • No

    Arthritis?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Left Knee Osteoarthritis
Left Knee Meniscus Tear
Left Knee Ligament Sprain

Documentation Best Practices

Documentation Checklist
  • Left knee condition: Laterality specified
  • Document symptom onset, duration, character
  • Physical exam: Include palpation, ROM, stability
  • Imaging results if obtained (X-ray, MRI, etc.)
  • Diagnosis clarity: Specify if primary vs secondary

Coding and Audit Risks

Common Risks
  • Unspecified Knee Pain

    Coding unspecified knee pain (719.46) when a more specific diagnosis is documented leads to lower reimbursement and data inaccuracy.

  • Lateral/Medial Meniscus

    Incorrectly coding lateral (717.42) vs. medial (717.41) meniscus tears impacts accurate tracking of procedures and outcomes.

  • Osteoarthritis Coding

    Failing to specify primary (715.16) vs. post-traumatic (715.36) osteoarthritis of the knee affects quality reporting and reimbursement.

Mitigation Tips

Best Practices
  • Document laterality: specify left knee consistently for accurate ICD-10 coding.
  • Capture precise pain characteristics: sharp, dull, aching, radiating for improved CDI.
  • Detail injury mechanism: sports, fall, overuse to support medical necessity and compliance.
  • Record ROM limitations: flexion, extension degrees for precise severity documentation.
  • Code knee joint structures: meniscus, ligaments, cartilage for specific diagnoses.

Clinical Decision Support

Checklist
  • Verify laterality: Left knee documented
  • Confirm imaging: X-ray or MRI of left knee
  • Assess for effusion, tenderness, ROM limitations
  • Document specific location and type of pain
  • Evaluate for instability, crepitus, locking

Reimbursement and Quality Metrics

Impact Summary
  • Left Knee Conditions reimbursement hinges on accurate ICD-10 coding (e.g., M22, M23) for optimal payment.
  • Coding quality impacts hospital reporting for Left Knee Conditions, affecting quality metrics and pay-for-performance.
  • Precise documentation of Left Knee Conditions is crucial for appropriate reimbursement and accurate severity reflection.
  • Specificity in Left Knee Conditions coding (laterality, type) maximizes reimbursement and minimizes denials.

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: left knee
  • Specify injury mechanism
  • Document ROM, pain level
  • Use 7th character for encounter
  • ICD-10 for diagnosis, CPT for procedures

Documentation Templates

Patient presents with complaints of left knee pain.  Onset of pain was (duration and onset details, e.g., gradual onset over several months, acute onset after a fall).  Pain quality described as (e.g., sharp, dull, aching, throbbing) and located in the (specify location, e.g., medial, lateral, anterior, posterior) aspect of the left knee.  Pain severity is (e.g., mild, moderate, severe) on a scale of 0-10, with 0 being no pain and 10 being the worst pain imaginable.  Aggravating factors include (e.g., weight-bearing, stair climbing, prolonged standing).  Alleviating factors include (e.g., rest, ice, elevation).  Patient reports (presence or absence) of clicking, popping, locking, giving way, or stiffness in the left knee.  Review of systems reveals (related or pertinent findings, e.g., no lower extremity edema, no numbness or tingling).  Past medical history significant for (relevant conditions, e.g., osteoarthritis, rheumatoid arthritis, previous knee injury).  Surgical history includes (any prior knee surgeries).  Medications include (list current medications).  Allergies include (list allergies).  Physical exam reveals (objective findings, e.g., tenderness to palpation along the medial joint line, positive McMurray's test, limited range of motion, crepitus).  Left knee effusion (present or absent).  Gait assessment demonstrates (e.g., antalgic gait, normal gait).  Differential diagnosis includes osteoarthritis, meniscus tear, ligament sprain, patellofemoral pain syndrome, bursitis, tendinitis.  Assessment:  Left knee pain likely due to (working diagnosis).  Plan:  Obtain left knee X-ray.  Prescribe (medications, e.g., NSAIDs).  Recommend (conservative treatment, e.g., rest, ice, compression, elevation, physical therapy).  Referral to orthopedics if symptoms persist or worsen.  Follow-up appointment scheduled in (duration). Return to clinic sooner if symptoms worsen or new symptoms develop.
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