Find comprehensive information on Left Total Knee Arthroplasty diagnosis, including clinical documentation requirements, ICD-10-CM and CPT codes, postoperative care, and healthcare resources. This guide covers medical coding guidelines, relevant anatomy and physiology, and common complications associated with left total knee replacement surgery. Learn about proper documentation for accurate reimbursement and improved patient care. Explore resources for healthcare professionals, including coding tips and best practices for documenting Left Total Knee Arthroplasty.
Also known as
Replacement of left knee joint
Insertion of artificial left knee joint.
Revision of left knee joint
Correction or replacement of existing left knee prosthesis.
Mechanical complication of left knee prosthesis
Problems like loosening, dislocation, or fracture of left knee implant.
Other complications of left knee prosthesis
Unspecified issues like infection or pain related to left knee implant.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is this a primary procedure?
When to use each related code
| Description |
|---|
| Left Total Knee Replacement |
| Left Partial Knee Replacement |
| Left Knee Arthroplasty Complication |
Incorrectly coding the right knee instead of the left or not specifying laterality, leading to claim rejections or inaccurate data.
Lack of documentation specifying the type of implant used (e.g., total, partial, revision) can cause coding errors and affect reimbursement.
Intraoperative or postoperative complications may be undercoded or overcoded, impacting quality reporting and reimbursement.
Patient presents for postoperative evaluation following left total knee arthroplasty (TKA). The indication for surgery was severe osteoarthritis of the left knee, refractory to conservative management including physical therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), and viscosupplementation injections. Preoperative diagnoses included osteoarthritis, degenerative joint disease, and chronic knee pain. The patient reports significant improvement in pain and function since the procedure. Surgical site is well-healed, with no signs of infection, erythema, or warmth. Range of motion is improving, currently at 0 to 110 degrees of flexion. The patient is ambulating with a front-wheeled walker and demonstrates good stability. Neurovascular examination is intact. Postoperative pain is managed with oral analgesics. Plan includes continued physical therapy for gait training, strengthening exercises, and range of motion improvement. The patient will follow up in two weeks to monitor progress and assess wound healing. Differential diagnosis prior to surgery included meniscus tear, ligamentous injury, and patellofemoral pain syndrome. Current procedural terminology (CPT) code for the initial surgery was 27447. International classification of diseases, tenth revision, clinical modification (ICD-10-CM) codes include M17.1 for primary osteoarthritis of the left knee and Z96.641 for presence of left knee prosthesis. Patient education provided on postoperative care, activity modifications, and signs and symptoms of infection.