Find information on right knee pain diagnosis, including relevant medical codes (ICD-10, SNOMED CT), clinical documentation best practices, differential diagnosis considerations, and common symptoms like lateral knee pain, medial knee pain, anterior knee pain, and posterior knee pain. Learn about relevant healthcare specialties like orthopedics, sports medicine, and physical therapy for effective right knee pain management and treatment. Explore resources for accurate clinical evaluation and documentation of right knee pain.
Also known as
Pain in right knee
Pain localized to the right knee joint.
Gonarthrosis
Degenerative joint disease of the knee, a common cause of knee pain.
Sprain of right knee
Ligament injury in the right knee causing pain and instability.
Pain in right lower leg
Pain radiating to the right lower leg, sometimes originating from the knee.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the right knee pain traumatic?
Yes
Is a fracture confirmed?
No
Is there a specific diagnosis?
When to use each related code
Description |
---|
Right Knee Pain |
Right Knee Osteoarthritis |
Right Knee Meniscus Tear |
Using unspecified codes like M25.561 (right knee pain) without proper documentation of cause, impacting reimbursement and data accuracy. Medical coding, CDI, healthcare compliance.
Incorrectly coding laterality (right vs. left) leading to inaccurate claims and potential compliance issues. Medical coding, knee pain, CDI.
Coding only pain (M25.561) without coding the underlying diagnosis (e.g., osteoarthritis), affecting quality reporting and reimbursement. Healthcare compliance, CDI, medical coding.
Patient presents with right knee pain. Onset of pain is described as (acute, subacute, chronic) and began (duration) ago. The patient localizes the pain to the (medial, lateral, anterior, posterior) aspect of the knee and characterizes it as (sharp, dull, aching, throbbing, burning). Aggravating factors include (weight-bearing, stairs, prolonged standing, bending, twisting) and alleviating factors include (rest, ice, elevation, over-the-counter pain relievers such as ibuprofen or acetaminophen). Patient denies any history of trauma, injury, or fall to the right knee. Past medical history includes (relevant medical conditions such as osteoarthritis, rheumatoid arthritis, gout). Surgical history includes (any prior knee surgeries). Medications include (list current medications). Allergies include (list allergies). Physical examination reveals (tenderness to palpation, swelling, erythema, warmth, crepitus, limited range of motion, effusion, instability). McMurray's test is (positive, negative). Lachman's test is (positive, negative). Anterior drawer test is (positive, negative). Posterior drawer test is (positive, negative). Varus and valgus stress tests are (stable, unstable). Neurovascular examination of the right lower extremity is intact. Assessment: Right knee pain, likely due to (differential diagnosis such as osteoarthritis, meniscus tear, ligament sprain, tendinitis, bursitis). Plan: Conservative management includes (rest, ice, compression, elevation, physical therapy, over-the-counter pain relievers such as NSAIDs). Imaging studies such as (X-ray, MRI) may be ordered to further evaluate the cause of the pain. Referral to orthopedics may be indicated if symptoms persist or worsen. Patient education provided regarding activity modification, pain management, and follow-up care. Return to clinic in (duration) for reevaluation.