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Z96.652
ICD-10-CM
Left Knee Replacement

Find comprehensive information on Left Knee Replacement including clinical documentation, medical coding, and healthcare resources. This guide covers ICD-10 codes for Left Knee Replacement, postoperative care, complications, and rehabilitation. Learn about arthroplasty of the left knee, total knee replacement, and unicompartmental knee arthroplasty of the left knee. Explore relevant medical terminology, clinical findings, and documentation best practices for accurate Left Knee Replacement coding and reporting.

Also known as

Left Total Knee Arthroplasty
Left Knee Arthroplasty

Diagnosis Snapshot

Key Facts
  • Definition : Surgical replacement of a damaged left knee joint with an artificial prosthesis.
  • Clinical Signs : Left knee pain, stiffness, swelling, limited range of motion, instability, crepitus.
  • Common Settings : Hospital inpatient, outpatient surgical center, rehabilitation facility.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC Z96.652 Coding
0SRD0JZ

Replacement of left knee joint

Insertion of artificial left knee joint.

0SR90JZ

Revision of left knee replacement

Correction or replacement of existing left knee prosthesis.

T84.01XA

Infection of left knee prosthesis

Infection related to left knee replacement device.

M23.11

Internal derangement left knee

Mechanical knee problems sometimes requiring replacement.

Code-Specific Guidance

Decision Tree for

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

Is this a total knee replacement?

  • Yes

    Initial or subsequent encounter?

  • No

    Partial or revision?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Left Knee Replacement
Left Knee Osteoarthritis
Left Knee Pain

Documentation Best Practices

Documentation Checklist
  • Left knee replacement documentation: ICD-10-PCS, CPT
  • Confirm laterality: Explicitly document 'left knee'
  • Implant details: Type, size, manufacturer
  • Surgical approach: Anterior, posterior, lateral
  • Pre-op diagnosis: Osteoarthritis, rheumatoid arthritis

Coding and Audit Risks

Common Risks
  • Implant Specificity

    Lack of documentation specifying implant type (total, partial, unicompartmental) leading to inaccurate coding and reimbursement.

  • Laterality Coding

    Missing or incorrect laterality (left or right) in documentation impacting claims processing and data integrity.

  • Revision vs. Primary

    Insufficient documentation to distinguish between primary and revision procedures resulting in incorrect code assignment and potential compliance issues.

Mitigation Tips

Best Practices
  • Accurate ICD-10-PCS code capture for TKR ensures proper reimbursement.
  • Specific laterality documentation (left knee) is crucial for accurate coding.
  • Complete op notes with implant details improve CDI and justify medical necessity.
  • Timely query resolution for left knee replacement clarifies documentation discrepancies.
  • Regular coding audits for TKR procedures ensure compliance and prevent denials.

Clinical Decision Support

Checklist
  • Verify severe left knee OA diagnosis (ICD-10-CM M17.1)
  • Confirm non-surgical treatments failed (document specifics)
  • Check patient suitability for surgery (comorbidities, ASA)
  • Ensure informed consent obtained and documented

Reimbursement and Quality Metrics

Impact Summary
  • Left Knee Replacement reimbursement hinges on accurate ICD-10-PCS and CPT coding, impacting DRG assignment and hospital payments.
  • Quality metrics like complication rates, length of stay, and functional improvement post-surgery directly influence value-based reimbursement for Left Knee Replacements.
  • Timely and accurate coding of Left Knee Replacement procedures minimizes claim denials, optimizing revenue cycle management and hospital finances.
  • Robust clinical documentation supporting medical necessity of Left Knee Replacement is crucial for successful claims processing and accurate reimbursement.

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 primary TKR 0SRN0JZ
  • Document implant details
  • Laterality: Left knee crucial
  • ICD-10-PCS essential
  • Query MD for clarification

Documentation Templates

Patient presents with complaints of chronic left knee pain, stiffness, and functional limitation consistent with osteoarthritis.  Symptoms include pain exacerbated by weight-bearing activities, crepitus, limited range of motion, and morning stiffness lasting greater than 30 minutes.  Conservative management including physical therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), and viscosupplementation has failed to provide adequate relief.  Radiographic imaging reveals advanced degenerative changes in the left knee joint, including joint space narrowing, osteophyte formation, and subchondral sclerosis.  Diagnosis of primary osteoarthritis, left knee, is confirmed.  After discussing risks and benefits, the patient elected to proceed with total left knee arthroplasty (TKA).  Surgical plan includes left total knee replacement utilizing a cemented prosthesis.  Postoperative care will include physical therapy, pain management, and deep vein thrombosis (DVT) prophylaxis.  ICD-10 code M17.1, primary osteoarthritis, left knee, and CPT code 27447, total knee arthroplasty, are documented for medical billing and coding purposes.  The prognosis for improved function and pain relief following left knee replacement is favorable.  Patient education regarding postoperative rehabilitation and potential complications was provided.  Follow-up appointment scheduled in two weeks to assess wound healing and initiate physical therapy.