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M17.11
ICD-10-CM
Osteoarthritis of the Right Knee

Find information on Osteoarthritis Right Knee diagnosis, including ICD-10 code M17.11, clinical documentation requirements, medical coding guidelines, and healthcare resources. Learn about symptoms, treatment options, and best practices for accurate Osteoarthritis Right Knee documentation for optimal reimbursement. This resource provides comprehensive guidance for healthcare professionals on managing and coding Osteoarthritis Right Knee cases.

Also known as

Degenerative Joint Disease of the Right Knee
Wear-and-Tear Arthritis of the Right Knee
OA Right Knee
+1 more

Diagnosis Snapshot

Key Facts
  • Definition : Degenerative joint disease causing cartilage breakdown in the right knee.
  • Clinical Signs : Right knee pain, stiffness, swelling, limited range of motion, creaking.
  • Common Settings : Primary care, orthopedics, physical therapy, pain management clinics.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M17.11 Coding
M17

Gonarthrosis

Osteoarthritis of knee

M17.1

Primary gonarthrosis, right knee

Osteoarthritis of right knee, primary

M17.11

Primary gonarthrosis, right knee, medial compartment

Osteoarthritis right knee, medial, primary

M17.12

Primary gonarthrosis, right knee, lateral compartment

Osteoarthritis right knee, lateral, primary

Code-Specific Guidance

Decision Tree for

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

Is the osteoarthritis primary?

  • Yes

    Is it unspecified?

  • No

    Is it post-traumatic?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Right Knee Osteoarthritis
Right Knee Pain
Right Knee Meniscus Tear

Documentation Best Practices

Documentation Checklist
  • Right knee pain documentation
  • Osteoarthritis diagnosis specificity
  • Symptom duration and severity details
  • Physical exam findings right knee
  • Impact on activities of daily living

Coding and Audit Risks

Common Risks
  • Laterality Coding Error

    Incorrectly coding the affected knee (left vs. right) can lead to inaccurate claims and denials. Ensure proper laterality documentation.

  • Specificity of Diagnosis

    Coding only osteoarthritis without specifying the site (knee) or laterality. Use specific ICD-10 codes like M17.11 for right knee.

  • Missing Documentation

    Lack of sufficient documentation to support the diagnosis of osteoarthritis in the right knee. Ensure clear clinical findings are recorded.

Mitigation Tips

Best Practices
  • Accurate ICD-10 coding (M17) for OA right knee
  • Specific laterality documentation (right) improves coding
  • Document symptom severity & impact on ADLs for CDI
  • Regular chart reviews ensure compliant OA diagnosis coding
  • Correlate imaging findings (X-ray, MRI) with clinical diagnosis

Clinical Decision Support

Checklist
  • Right knee pain documented
  • Limited ROM right knee exam
  • Right knee imaging confirms OA
  • No other right knee diagnosis
  • Age, activity, obesity assessed

Reimbursement and Quality Metrics

Impact Summary
  • Reimbursement: Accurate ICD-10-CM (M17.11) and CPT coding for OA knee maximizes payment, avoids denials. Proper documentation of severity, affected joint, and laterality is crucial for optimal reimbursement.
  • Quality Metrics: Tracking OA knee diagnosis impacts quality measures related to pain management, functional status, and patient-reported outcomes. Accurate coding ensures appropriate risk adjustment.
  • Coding Accuracy: Correct coding of M17.11, along with any associated procedures (injections, surgery), ensures clean claims. Specificity like laterality (right) improves data integrity for hospital reporting.
  • Hospital Reporting: Precise OA knee coding affects hospital quality reporting on prevalence, treatment efficacy, and resource utilization. This data informs improvement initiatives and value-based care.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code M17.11 Right knee OA
  • Laterality: Specify 'right'
  • Document symptom onset, severity
  • Include imaging findings for OA
  • Consider 715.36 if knee cartilage damage

Documentation Templates

Patient presents with complaints of right knee pain consistent with osteoarthritis.  Symptoms include intermittent aching, stiffness, and crepitus exacerbated by weight-bearing activities and prolonged standing.  Onset of symptoms was gradual over the past six months.  Pain is localized to the right knee joint and is described as a dull ache, with occasional sharp pains during movement.  Stiffness is most pronounced in the morning and after periods of inactivity, improving with movement and activity.  Patient denies any history of trauma, fever, or systemic symptoms.  Physical examination reveals tenderness to palpation along the medial joint line, reduced range of motion with mild crepitus on flexion and extension, and no evidence of effusion or instability.  Right knee osteoarthritis diagnosis is supported by clinical findings and patient history.  Radiographic imaging is recommended to confirm the diagnosis and assess the severity of joint degeneration.  Initial treatment plan includes conservative management with over-the-counter analgesics such as ibuprofen for pain relief, regular low-impact exercise focusing on strengthening quadriceps and improving range of motion, and weight management counseling.  Patient education provided on osteoarthritis management, including activity modification and the importance of adherence to the prescribed treatment plan.  Follow-up appointment scheduled in four weeks to reassess symptoms and discuss further management options if necessary.  Differential diagnoses considered include meniscus tear, patellofemoral pain syndrome, and inflammatory arthritis.  ICD-10 code M17.11, Right knee osteoarthritis, primary, is assigned.
Osteoarthritis of the Right Knee - AI-Powered ICD-10 Documentation