Learn about Osgood-Schlatter Disease diagnosis, including clinical documentation, medical coding, ICD-10 codes (M92.5), and SNOMED CT concepts. This resource provides information for healthcare professionals on Osgood-Schlatter Disease treatment, symptoms, and differential diagnosis, focusing on accurate medical coding and documentation best practices for knee pain in adolescents. Find details on Osgood-Schlatter Disease stages, radiological findings, and relevant medical terminology to ensure proper clinical documentation and coding for reimbursement purposes.
Also known as
Juvenile osteochondrosis of lower limb
Includes Osgood-Schlatter disease.
Other osteopathies
Encompasses various bone disorders, including osteochondrosis.
Diseases of the musculoskeletal system and connective tissue
Broad category covering bone, joint, and connective tissue issues.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the diagnosis Osgood-Schlatter disease?
Coding Osgood-Schlatter without specifying right, left, or bilateral knee leads to claim rejections and inaccurate data reporting. CDI should query for laterality.
Osgood-Schlatter primarily affects adolescents. Coding it in adults raises red flags for medical necessity audits and potential fraud. CDI should verify diagnosis accuracy.
Discrepancies between physician notes and imaging results can lead to coding errors and denials. CDI and compliance audits must ensure documentation alignment.
Patient presents with complaints of anterior knee pain consistent with Osgood-Schlatter disease. The patient, a [age]-year-old [male/female], reports pain localized to the tibial tuberosity, exacerbated by activities such as running, jumping, and kneeling. Onset of pain was [gradual/acute] and began approximately [duration] ago. Pain is described as [aching/sharp/throbbing] and is rated [pain scale rating] on a scale of 0-10. Physical examination reveals [tenderness/swelling/erythema] over the tibial tuberosity. No effusion or instability noted. Range of motion is within normal limits, although extension against resistance elicits pain. Radiographic imaging [was obtained/was not obtained] and [reveals/does not reveal] fragmentation of the tibial tuberosity. Assessment: Osgood-Schlatter disease. Differential diagnoses considered include patellar tendinitis, Sinding-Larsen-Johansson syndrome, and tibial tubercle fracture. Treatment plan includes activity modification, ice application, NSAIDs for pain management, and physical therapy focusing on quadriceps and hamstring stretching. Patient education provided regarding the self-limiting nature of the condition and the importance of adherence to the treatment plan. Follow-up scheduled in [duration] to monitor symptoms and progress. ICD-10 code M92.5 (juvenile osteochondrosis of tibial tuberosity) assigned.