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M00.961
ICD-10-CM
Septic Arthritis of the Right Knee

Find information on septic arthritis of the right knee including clinical documentation, diagnosis codes (ICD-10 M00.061), medical coding guidelines, healthcare provider resources, and treatment options. Learn about the symptoms, causes, and management of right knee septic arthritis for accurate medical record keeping and appropriate billing. This resource provides relevant information for physicians, coders, and other healthcare professionals dealing with right knee joint infections.

Also known as

Infectious Arthritis of the Right Knee
Pyogenic Arthritis of the Right Knee

Diagnosis Snapshot

Key Facts
  • Definition : Joint inflammation caused by infection.
  • Clinical Signs : Swollen, red, hot, painful knee with limited range of motion and fever.
  • Common Settings : Hematogenous spread, direct inoculation, or from adjacent infection.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M00.961 Coding
M00-M02

Infectious arthropathies

Covers various infectious joint conditions.

A49-A49

Bacterial infections NOS

Classifies unspecified bacterial infections elsewhere.

B95-B97

Bacterial, viral and other agents

Includes streptococcal, staphylococcal, and other bacterial agents.

Code-Specific Guidance

Decision Tree for

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

Is the septic arthritis due to a specific organism?

  • Yes

    Organism specified?

  • No

    Is it specified as non-pyogenic?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Right Knee Septic Arthritis
Right Knee Arthritis (NOS)
Right Knee Reactive Arthritis

Documentation Best Practices

Documentation Checklist
  • Right knee septic arthritis: Synovial fluid analysis results
  • Right knee septic arthritis: Blood culture results
  • Right knee septic arthritis: Imaging study findings (X-ray, MRI, etc.)
  • Right knee septic arthritis: Signs/symptoms (pain, swelling, fever)
  • Right knee septic arthritis: Antibiotics administered and response

Mitigation Tips

Best Practices
  • Document aspiration results, WBCs, cultures for ICD-10 A49.01 accuracy.
  • Timely antibiotics crucial: Note onset, duration for optimal coding, compliance.
  • Image knee pre-antibiotics: MRI preferred, X-ray acceptable for diagnosis clarity.
  • Specify organism if known (e.g., Staph) for targeted treatment, precise coding.
  • Surgical intervention? Document procedure, findings for A49.01, CDI compliance.

Clinical Decision Support

Checklist
  • 1. Right knee joint pain, swelling, limited ROM? (ICD-10 J03.0)
  • 2. Fever, chills, elevated WBCs, ESR, CRP? (Sepsis codes)
  • 3. Synovial fluid analysis: WBC >50,000/mm3? (CPT 88700)
  • 4. Blood cultures obtained before antibiotics? (Patient safety)
  • 5. Consider imaging (X-ray, MRI) if diagnosis unclear. (CPT 73000, 73721)

Reimbursement and Quality Metrics

Impact Summary
  • Septic arthritis right knee reimbursement hinges on accurate ICD-10-CM (M00.061) and CPT coding for arthrocentesis, joint drainage, or surgical intervention. Impacts: Higher CMI with surgical intervention.
  • Quality metrics impacted: Surgical site infection rate (SSI), time to antibiotic administration, length of stay (LOS). Accurate present on admission (POA) indicator crucial.
  • Coding errors for septic arthritis knee can lead to claim denials, reduced reimbursement, and affect hospital acquired condition (HAC) reporting. Impacts: Lower case mix index.
  • Timely and specific documentation of infection source, pathogen, and treatment impacts sepsis severity measures and accurate MS-DRG assignment. Impacts: Improved quality scores.

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 main term: Septic arthritis
  • Specify Right knee joint
  • Document causative organism
  • Consider secondary codes for fever, pain
  • Query physician if etiology unclear

Documentation Templates

Patient presents with right knee pain, swelling, erythema, and warmth, consistent with suspected septic arthritis.  Onset of symptoms was reported as acute, beginning approximately three days prior to presentation.  Patient reports significant pain with any movement of the right knee and difficulty bearing weight.  Range of motion is severely limited due to pain and swelling.  Fever of 101.5 degrees Fahrenheit was documented.  Patient denies any recent trauma to the knee.  Medical history includes type 2 diabetes mellitus and hypertension.  Physical examination reveals marked tenderness to palpation of the right knee joint, with notable effusion.  Labs ordered include complete blood count with differential, erythrocyte sedimentation rate, C-reactive protein, and joint aspiration for synovial fluid analysis and culture.  Differential diagnosis includes gout, pseudogout, and reactive arthritis.  Given the clinical presentation and elevated inflammatory markers, septic arthritis of the right knee is the leading diagnosis.  Initial treatment includes intravenous antibiotics and pain management.  Orthopedic consultation is requested for possible joint drainage and further management.  Patient education provided regarding the importance of antibiotic adherence and follow-up care.  ICD-10 code M00.061 and CPT codes for joint aspiration and injection will be applied based on procedures performed.  Continued monitoring for response to treatment and potential complications is warranted.
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