Find information on Left Knee Sprain diagnosis, including clinical documentation, medical coding, ICD-10 codes, and healthcare guidelines. Learn about left knee sprain symptoms, treatment, and prognosis. This resource offers support for accurate medical coding and documentation of left knee sprains for healthcare professionals. Explore details on left knee instability, pain management, and rehabilitation related to a left knee sprain diagnosis.
Also known as
Sprain of left knee
Covers sprains and strains of the left knee and ligaments.
Sprain of right knee
Covers sprains and strains of the right knee and ligaments.
Injuries to the knee and lower leg
Includes various injuries like fractures, dislocations, and sprains.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is there a current tear of the ACL?
Yes
Code S83.512A Sprain of anterior cruciate ligament of left knee, initial encounter
No
Is there a current tear of the PCL?
When to use each related code
Description |
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Left Knee Sprain |
Left Knee Strain |
Left Knee Contusion |
Coding left knee sprain without laterality or specific site (e.g., MCL, LCL, ACL) leads to inaccurate coding and claim denials.
Insufficient documentation of the trauma mechanism causing the left knee sprain may hinder accurate code assignment and CDI queries.
Failing to document the grade of the left knee sprain (e.g., grade 1, 2, or 3) impacts coding specificity and reimbursement.
Patient presents with complaints of left knee pain and instability consistent with a left knee sprain. Onset of symptoms occurred on [Date of Injury] during [Mechanism of Injury - e.g., twisting injury while playing basketball]. Patient denies any popping or audible click at the time of injury. Pain is localized to the [Medial, Lateral, or Generalized] aspect of the left knee and is characterized as [Sharp, Dull, Aching, Throbbing]. Patient reports [Mild, Moderate, Severe] pain, rated [Pain Scale 0-10]. Swelling is [Present/Absent] and [Mild, Moderate, Severe] if present. Ecchymosis is [Present/Absent]. Range of motion is limited due to pain, with noted difficulty with [Flexion, Extension]. Ligamentous testing reveals [Specific findings, e.g., tenderness to palpation over the medial collateral ligament, positive valgus stress test at [degrees], suggesting a Grade [I, II, III] MCL sprain]. No obvious deformity is noted. Neurovascular examination of the left lower extremity is intact. Differential diagnosis includes left knee sprain, meniscus tear, fracture. Initial treatment includes RICE therapy (rest, ice, compression, elevation), NSAIDs for pain management, and referral to physical therapy for rehabilitation. Radiographs of the left knee were obtained to rule out fracture and showed [Results of imaging - e.g., negative for fracture]. Patient was instructed to follow up in [Duration] for reassessment and further management. Diagnosis: Left knee sprain. ICD-10 code: [Appropriate ICD-10 code, e.g., S83.402A - Sprain of unspecified ligament of left knee, initial encounter].