Find information on medial meniscus tear diagnosis, including clinical documentation, ICD-10 codes (S83.2_), and medical coding guidelines. Learn about healthcare resources for meniscus injuries, treatment options, and post-operative care. Explore accurate medical coding for medial meniscus tear, MRI findings for meniscus tears, and differential diagnosis considerations. This resource provides essential information for physicians, coders, and healthcare professionals dealing with meniscus tear documentation and coding.
Also known as
Medial Meniscus Tear
Tear of the medial meniscus of the knee.
Internal derangement of knee
Includes various knee joint problems like tears or displacements.
Other knee injuries
Encompasses other injuries to the knee not classified elsewhere.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the medial meniscus tear traumatic?
Yes
Is it acute or chronic?
No
Which knee? Left or Right?
When to use each related code
Description |
---|
Medial Meniscus Tear |
Lateral Meniscus Tear |
Meniscus Degeneration |
Incorrect coding for the affected side (right, left, unspecified) leading to claim denials or inaccurate data reporting. ICD-10 specificity important for medical coding audits.
Discrepancy between documented tear acuity (acute, chronic, unspecified) and coded diagnosis. Impacts reimbursement and CDI queries for healthcare compliance.
Using unspecified meniscus tear code when documentation supports a more specific location (e.g., anterior horn, posterior horn). Affects medical coding accuracy and data analysis for quality measures.
Patient presents with complaints consistent with medial meniscus tear. Onset of symptoms occurred during [activity causing injury - e.g., twisting injury while playing basketball] approximately [duration - e.g., two weeks] ago. Patient reports [character of pain - e.g., sharp, aching] pain localized to the [location - e.g., medial aspect of the right knee]. Pain is exacerbated by [aggravating factors - e.g., weight-bearing, flexion, and internal rotation]. Patient also reports [associated symptoms - e.g., clicking, popping, locking, swelling, stiffness, and instability]. Physical examination reveals [objective findings - e.g., tenderness to palpation along the medial joint line, positive McMurray's test, and limited range of motion]. Differential diagnosis includes medial meniscus injury, ligamentous injury, osteoarthritis, and patellofemoral pain syndrome. Preliminary diagnosis of medial meniscus tear is suspected. Plan includes [imaging studies - e.g., MRI of the right knee] to confirm the diagnosis and assess the extent of the tear. Conservative management may include [conservative treatments - e.g., rest, ice, compression, elevation, physical therapy, and NSAIDs]. If conservative treatment fails, surgical intervention such as [surgical options - e.g., meniscus repair or partial meniscectomy] may be considered. Patient education provided regarding the diagnosis, treatment options, and expected prognosis. Follow-up appointment scheduled in [duration - e.g., two weeks] to review imaging results and discuss further management. ICD-10 code: [relevant ICD-10 code - e.g., M23.211] pending confirmation of diagnosis. CPT codes for evaluation and management will be determined based on the complexity of the visit.