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S83.200A
ICD-10-CM
Right Knee Meniscus Tear

Find information on right knee meniscus tear diagnosis, including clinical documentation, medical coding, ICD-10 codes (S73.2), and MRI findings. Learn about meniscus tear symptoms, treatment options, and postoperative care. This resource provides healthcare professionals with accurate and relevant information for proper diagnosis and coding of right knee meniscus tears. Explore resources on lateral and medial meniscus tears, meniscectomy, and meniscus repair.

Also known as

Right Knee Meniscal Tear
Torn Meniscus of Right Knee

Diagnosis Snapshot

Key Facts
  • Definition : A rip in the knee cartilage that absorbs shock and stabilizes the joint.
  • Clinical Signs : Pain, swelling, stiffness, clicking, popping, locking, limited range of motion.
  • Common Settings : Sports injuries, twisting falls, degenerative changes.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC S83.200A Coding
S83.2-

Other meniscus derangements of knee

Covers tears and other disorders of the right or left knee meniscus.

M23.-

Internal derangements of knee

Includes various knee derangements like meniscus or cruciate ligament tears.

S83.-

Other knee joint injuries

Encompasses injuries to knee ligaments, menisci, and other structures.

Code-Specific Guidance

Decision Tree for

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

Is the meniscus tear traumatic?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Right Knee Meniscus Tear
Right Knee Meniscus Degeneration
Right Knee Ligament Sprain

Documentation Best Practices

Documentation Checklist
  • Document mechanism of injury (e.g., twisting, trauma)
  • Specify location of tear (medial, lateral, posterior horn)
  • Describe any locking, clicking, or giving way
  • Include McMurray's or Thessaly test results
  • Note severity of tear (e.g., partial, full, complex)

Coding and Audit Risks

Common Risks
  • Unspecified Laterality

    Coding a meniscus tear without specifying right or left knee can lead to claim denials and inaccurate data reporting. Use appropriate laterality codes.

  • Missing Acuity Detail

    Failing to document tear type (e.g., bucket handle, flap) and location (anterior, posterior horn) impacts reimbursement and quality metrics. CDI can clarify.

  • Traumatic vs. Degenerative

    Incorrectly coding a degenerative tear as traumatic or vice-versa leads to coding errors and impacts medical necessity reviews. Proper documentation is key.

Mitigation Tips

Best Practices
  • Accurate ICD-10 coding (S83.2-) for laterality and type of tear
  • Thorough documentation of mechanism of injury, symptoms, and exam findings for CDI
  • MRI review for meniscus tear confirmation supports medical necessity, ensures compliance
  • Consider pre-authorization requirements for knee arthroscopy/meniscectomy per payer guidelines
  • Document conservative treatment attempts prior to surgery for compliance and optimal care

Clinical Decision Support

Checklist
  • 1. Verify localized knee pain onset (ICD-10: S73.2)
  • 2. Check McMurray's test result documented (SNOMED CT: 298462003)
  • 3. Confirm joint line tenderness noted (ICD-10: M25.4)
  • 4. Validate imaging order MRI right knee (CPT: 73721)

Reimbursement and Quality Metrics

Impact Summary
  • Right Knee Meniscus Tear reimbursement hinges on accurate coding (ICD-10 S83.2-) and modifier use for optimal payment.
  • Coding quality impacts denials. Correct laterality, tear type (ICD-10 S83.20- S83.29) are crucial for clean claims.
  • Metrics like average reimbursement per case, denial rates, and coding accuracy are key for hospital reporting on meniscus tear procedures.
  • Timely filing and proper documentation of supporting diagnoses impact reimbursement and overall revenue cycle management.

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 meniscus tear laterality
  • Document tear type, location
  • Add MRI findings to support code

Documentation Templates

Patient presents with complaints of right knee pain, consistent with a suspected meniscus tear.  Onset of symptoms occurred [Date of onset] after [Mechanism of injury - e.g., twisting injury while playing basketball, squatting during weightlifting].  Patient reports [Character of pain - e.g., sharp, dull, aching] pain localized to the [Location of pain - e.g., medial, lateral] aspect of the right knee.  Pain is exacerbated by [Aggravating factors - e.g., weight-bearing, flexion, twisting] and relieved by [Relieving factors - e.g., rest, ice, elevation].  Associated symptoms include [Associated symptoms - e.g., clicking, popping, locking, swelling, stiffness, instability, giving way].  Physical examination reveals [Objective findings - e.g., tenderness to palpation along the joint line, positive McMurray's test, decreased range of motion, joint effusion].  Differential diagnosis includes meniscus tear, ligament sprain, patellofemoral pain syndrome, osteoarthritis.  Preliminary diagnosis of right knee meniscus tear is made based on patient history, physical exam findings, and clinical presentation.  Plan includes [Diagnostic tests - e.g., right knee MRI to confirm diagnosis] and [Treatment plan - e.g., conservative management with RICE protocol (rest, ice, compression, elevation), physical therapy referral, NSAIDs for pain management;  possible orthopedic consultation for surgical intervention if indicated].  Patient education provided regarding activity modification, pain management strategies, and potential treatment options.  Follow-up scheduled in [Duration - e.g., two weeks] to review imaging results and discuss further management.  ICD-10 code: [Appropriate ICD-10 code - e.g., M23.211 for medial meniscus tear, right knee, M23.212 for lateral meniscus tear, right knee].