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M92.50
ICD-10-CM
Osgood-Schlatter Disease

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

Tibial Tubercle Apophysitis
Juvenile Osteochondrosis of Tibia Tubercle
osgood-schlatter syndrome

Diagnosis Snapshot

Key Facts
  • Definition : Overuse injury causing pain and swelling below the kneecap, typically in adolescents.
  • Clinical Signs : Knee pain worsened by activity, tenderness below kneecap, prominent tibial tuberosity.
  • Common Settings : Pediatric orthopedics, sports medicine clinics, adolescent primary care.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M92.50 Coding
M92.5

Juvenile osteochondrosis of lower limb

Includes Osgood-Schlatter disease.

M91-M94

Other osteopathies

Encompasses various bone disorders, including osteochondrosis.

M00-M99

Diseases of the musculoskeletal system and connective tissue

Broad category covering bone, joint, and connective tissue issues.

Code-Specific Guidance

Decision Tree for

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

Is the diagnosis Osgood-Schlatter disease?

Documentation Best Practices

Documentation Checklist
  • Osgood-Schlatter disease diagnosis documentation
  • Patient history: anterior knee pain, tibial tuberosity tenderness
  • Physical exam: swelling, prominence of tibial tubercle
  • Imaging (X-ray): confirmation not always necessary
  • Activity limitations: assess impact on sports, daily activities
  • Exclude other diagnoses: patellar tendinitis, Sinding-Larsen-Johansson

Coding and Audit Risks

Common Risks
  • Unspecified Laterality

    Coding Osgood-Schlatter without specifying right, left, or bilateral knee leads to claim rejections and inaccurate data reporting. CDI should query for laterality.

  • Age Mismatch

    Osgood-Schlatter primarily affects adolescents. Coding it in adults raises red flags for medical necessity audits and potential fraud. CDI should verify diagnosis accuracy.

  • Conflicting Documentation

    Discrepancies between physician notes and imaging results can lead to coding errors and denials. CDI and compliance audits must ensure documentation alignment.

Mitigation Tips

Best Practices
  • ICD-10 M92.5, CDI: Document pain, swelling, tibial tubercle tenderness
  • RICE therapy: Rest, Ice, Compression, Elevation. Limit activities.
  • NSAIDs for pain management. PT for stretching, strengthening exercises.
  • Monitor Osgood-Schlatter progression. Document growth spurts influence.
  • HCC coding: Consider associated conditions impacting risk adjustment.

Clinical Decision Support

Checklist
  • 1. Adolescent with anterior knee pain?
  • 2. Pain localized to tibial tuberosity?
  • 3. Aggravated by activity, relieved by rest?
  • 4. Physical exam: tenderness, swelling at tuberosity?

Reimbursement and Quality Metrics

Impact Summary
  • Osgood-Schlatter Disease reimbursement: ICD-10 M92.5, CPT 73030 (radiograph), focusing on accurate laterality coding for optimal payment.
  • Coding accuracy impacts: Correct diagnosis and laterality coding crucial for appropriate claim processing and avoiding denials.
  • Quality metrics impact: OSD tracking aids in pediatric sports medicine program evaluation and resource allocation.
  • Hospital reporting impact: Accurate OSD data enhances injury surveillance, informs prevention strategies, and supports quality improvement.

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 M92.5 for Osgood-Schlatter
  • Document tibial tubercle pain
  • Specify laterality: right or left
  • Include imaging findings if done
  • Consider activity limitations

Documentation Templates

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.
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