Find information on right knee pain diagnosis, including relevant medical codes, clinical documentation tips, and differential diagnoses. Explore resources for healthcare professionals covering right knee pain assessment, symptoms, treatment, and ICD-10 codes like M25.561 and M25.562. Learn about common causes such as osteoarthritis, meniscus tears, ligament injuries, and patellofemoral pain syndrome. Improve your medical coding accuracy and clinical documentation for right knee pain.
Also known as
Pain in right knee
Pain localized to the right knee joint.
Gonarthrosis
Osteoarthritis of the knee, a common cause of knee pain.
Dislocation and sprain of knee
Injuries to the knee that can cause pain.
Pain in right lower leg
Pain radiating to the lower leg, which may originate in the knee.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the right knee pain traumatic?
Yes
Current injury?
No
Is there a documented underlying medical condition?
When to use each related code
Description |
---|
Pain Right Knee |
Right Knee Osteoarthritis |
Right Knee Meniscus Tear |
Coding right knee pain without specifying laterality (right) can lead to claim rejections and inaccurate data reporting. Use appropriate laterality codes.
Generalized pain coding lacks detail needed for proper reimbursement. Document underlying cause, type of pain, and associated symptoms for specific code assignment.
Insufficient documentation supporting medical necessity of services related to right knee pain can trigger audits and denials. Clearly link diagnoses and treatments.
Patient presents with complaints of right knee pain. Onset of pain is reported as (onset date or duration, e.g., two weeks ago, gradual over several months). The pain is characterized as (quality of pain, e.g., sharp, dull, aching, throbbing) and located in the (specific location, e.g., medial, lateral, anterior, posterior) aspect of the right knee. Patient reports the pain is (severity on a scale of 0-10, e.g., 5/10) and is aggravated by (aggravating factors, e.g., weight-bearing, walking, stairs, prolonged standing). Alleviating factors include (alleviating factors, e.g., rest, ice, elevation). Associated symptoms include (associated symptoms, e.g., stiffness, swelling, clicking, locking, giving way). Patient denies (denied symptoms, e.g., fever, chills, numbness, tingling). Physical examination reveals (objective findings, e.g., tenderness to palpation over the medial joint line, mild effusion, full range of motion with pain at end range of flexion). Differential diagnosis includes osteoarthritis, meniscus tear, ligament sprain, patellofemoral pain syndrome, bursitis. Assessment: Right knee pain. Plan: Conservative management with (treatment plan, e.g., NSAIDs, ice, rest, physical therapy referral). Patient education provided on activity modification and home exercises. Follow-up scheduled in (duration, e.g., two weeks) to assess response to treatment. ICD-10 code: (appropriate ICD-10 code, e.g., M25.561 Pain in right knee).