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M25.562
ICD-10-CM
Left Knee Joint Pain

Find information on left knee joint pain diagnosis, including relevant medical codes (ICD-10, SNOMED CT), clinical documentation best practices, differential diagnosis, and treatment options. This resource covers common causes of left knee pain such as osteoarthritis, meniscus tear, ligament injury, and patellofemoral pain syndrome. Learn about examination techniques, diagnostic imaging (MRI, X-ray), and pain management strategies for accurate left knee pain assessment and documentation.

Also known as

Left Knee Pain
Pain in Left Knee

Diagnosis Snapshot

Key Facts
  • Definition : Pain localized to the left knee joint, varying in intensity and duration.
  • Clinical Signs : Swelling, stiffness, limited range of motion, tenderness to touch, clicking or popping sounds.
  • Common Settings : Arthritis, injury (meniscus tear, ligament sprain), overuse, bursitis.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M25.562 Coding
M25.56

Pain in left knee joint

Pain localized to the left knee joint.

M17

Gonarthrosis

Degenerative joint disease of the knee, which can cause pain.

S72.10-S72.12-

Fracture of lower end of left femur

Fractures near the knee that often cause knee pain.

M23.42

Loose body in left knee

Foreign body within the left knee joint causing pain or discomfort.

Code-Specific Guidance

Decision Tree for

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

Is the left knee pain traumatic?

  • Yes

    Is there a fracture?

  • No

    Is there localized swelling?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Left knee pain
Left knee osteoarthritis
Left knee meniscus tear

Documentation Best Practices

Documentation Checklist
  • Left knee pain: Onset, duration, character
  • Location and laterality: Medial, lateral, anterior, posterior
  • Aggravating and relieving factors documented
  • Associated symptoms: Swelling, stiffness, instability
  • Physical exam: ROM, tenderness, effusion

Coding and Audit Risks

Common Risks
  • Unspecified Pain

    Coding left knee pain as unspecified (M25.561) without documenting specific details like laterality and location leads to lower reimbursement and audit risk.

  • Unconfirmed Diagnosis

    Lack of documented clinical indicators to support left knee pain diagnosis (e.g., 719.46) can result in claim denial for medical necessity and compliance issues.

  • Comorbidity Omission

    Failing to code associated conditions like osteoarthritis or trauma with left knee pain impacts accurate severity reflection and case mix index (CMI).

Mitigation Tips

Best Practices
  • Accurate ICD-10 coding (M25.56) for left knee pain.
  • Specific laterality documentation (left) improves CDI.
  • Document pain characteristics for compliance and coding.
  • Evaluate and document ROM for accurate severity assessment.
  • Correlate imaging (X-ray, MRI) with exam for compliant diagnosis.

Clinical Decision Support

Checklist
  • Verify laterality: Left knee documented
  • Assess pain characteristics: Onset, type, radiation
  • Physical exam: ROM, tenderness, effusion, instability
  • Review imaging: X-ray, MRI if indicated per guidelines
  • Consider differentials: OA, meniscus tear, ligament injury

Reimbursement and Quality Metrics

Impact Summary
  • Left Knee Joint Pain: Coding accuracy impacts reimbursement for M79.60, M79.65, M25.561, S83.20. Proper coding maximizes claim acceptance.
  • Hospital reporting quality metrics for Left Knee Joint Pain (M79.6) rely on accurate diagnosis codes. Impacts KPIs like average LOS, readmissions.
  • Timely and accurate coding of Left Knee Joint Pain improves claim processing and reduces denials. Optimizes revenue cycle management.
  • Physician documentation specificity for Left Knee Joint Pain is crucial. Impacts coding, reimbursement and hospital quality reporting data accuracy.

Streamline Your Medical Coding

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

Quick Tips

Practical Coding Tips
  • Code laterality: left knee
  • Document pain specifics
  • Specify onset, duration
  • Consider imaging findings
  • R/O referred pain

Documentation Templates

Patient presents with complaints of left knee joint pain.  Onset of pain is reported as (gradualacute sudden) and began approximately (duration) ago.  Pain quality is described as (sharp, dull, aching, throbbing, burning, stabbing) and is located in the (medial, lateral, anterior, posterior) aspect of the left knee.  Patient reports (aggravating factors such as weight-bearing, stair climbing, prolonged standing, specific movements) exacerbate the pain, while (alleviating factors such as rest, ice, elevation, specific medications) provide some relief.  Pain severity is rated as (scale 1-10).  Associated symptoms may include stiffness, swelling, clicking, popping, locking, instability, limited range of motion, or warmth in the left knee.  Patient denies any recent trauma, injury, or fever.  Medical history includes (relevant medical conditions such as osteoarthritis, rheumatoid arthritis, gout, previous knee injuries, surgeries).  Current medications include (list medications).  Physical examination reveals (objective findings such as tenderness to palpation, swelling, erythema, crepitus, decreased range of motion, ligament instability).  Differential diagnosis includes osteoarthritis, meniscus tear, ligament sprain, tendinitis, bursitis, patellofemoral pain syndrome, or referred pain.  Preliminary diagnosis is left knee joint pain.  Plan includes (diagnostic tests such as X-ray, MRI, ultrasound),  (treatment plan such as pain management with NSAIDs, physical therapy, corticosteroid injections, bracing), and patient education regarding activity modification and home exercises.  Follow-up appointment scheduled in (duration).
Left Knee Joint Pain - AI-Powered ICD-10 Documentation