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
Pain in left knee joint
Pain localized to the left knee joint.
Gonarthrosis
Degenerative joint disease of the knee, which can cause pain.
Fracture of lower end of left femur
Fractures near the knee that often cause knee pain.
Loose body in left knee
Foreign body within the left knee joint causing pain or discomfort.
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?
When to use each related code
Description |
---|
Left knee pain |
Left knee osteoarthritis |
Left knee meniscus tear |
Coding left knee pain as unspecified (M25.561) without documenting specific details like laterality and location leads to lower reimbursement and audit risk.
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.
Failing to code associated conditions like osteoarthritis or trauma with left knee pain impacts accurate severity reflection and case mix index (CMI).
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).