Find information on right knee contusion diagnosis, including clinical documentation tips, ICD-10 codes (S80.1-), medical coding guidelines, and healthcare best practices for accurate reporting. Learn about symptoms, treatment, and prognosis for a bruised right knee. This resource offers valuable insights for physicians, coders, and other healthcare professionals seeking accurate and efficient documentation and coding for right knee contusions.
Also known as
Injuries to the knee and lower leg
Covers injuries like contusions, sprains, and strains of the knee and lower leg.
Slipping, tripping, stumbling and falls
Includes falls and other mishaps that may cause knee contusions.
Activity codes related to sport
Identifies sport-related activities that may result in a knee contusion.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is there current hemarthrosis/bleeding?
Yes
Is it traumatic?
No
Is there superficial injury ONLY?
When to use each related code
Description |
---|
Right knee bruise |
Right knee hematoma |
Right knee sprain |
Coding with S80.0 (Contusion of knee) without laterality lacks specificity, impacting reimbursement and data accuracy. Requires right knee documentation.
Distinguishing superficial (S80.0) from deep tissue injury is crucial for proper coding. Unspecified contusions may lead to undercoding or denials.
Overlooking associated injuries like hematoma or ligament damage leads to inaccurate coding. Document and code all related conditions.
Patient presents with complaints of right knee pain and swelling following a direct blow to the knee. Onset of symptoms occurred [Number] daysweeks ago during [Mechanism of injury - e.g., a fall, sports activity]. The patient denies any popping or locking sensation in the knee. Physical examination reveals localized tenderness and ecchymosis over the lateralright medial aspect of the right knee. Range of motion is slightly limited due to pain, with discomfort noted during flexion and extension. There is no palpable effusion or joint instability. McMurray's test is negative. Lachman and anteriorposterior drawer tests are negative. Palpation reveals no crepitus. Neurovascular examination of the right lower extremity is intact. Assessment: Right knee contusion. Diagnosis confirmed based on clinical findings, mechanism of injury, and physical exam. Differential diagnoses considered include meniscus tear, ligament sprain, and fracture, which were ruled out based on negative special tests and absence of significant joint instability. Plan: Conservative management is recommended. Patient advised to follow RICE protocol (rest, ice, compression, elevation). Over-the-counter analgesics such as ibuprofen or naproxen sodium may be used for pain management. Patient education provided regarding activity modification and avoidance of weight-bearing activities as tolerated. Follow-up appointment scheduled in [Number] weeks to reassess symptoms and progress. ICD-10 code: S80.10XA. Patient instructed to return to the clinic if symptoms worsen or new symptoms develop.