Find information on medial meniscus tear diagnosis, including clinical documentation, ICD-10 codes (S83.2), MRI findings, and treatment options. Learn about meniscus tear symptoms, physical exam maneuvers like McMurray's test, and the differential diagnosis process. This resource offers guidance on medical coding for medial meniscus tears, relevant anatomy, and postoperative care considerations for healthcare professionals. Explore details regarding medial meniscus tear repair, meniscectomy procedures, and the role of orthopedics in managing this condition.
Also known as
Tear of medial meniscus
Traumatic tear of the medial meniscus of the knee.
Internal derangement of knee
Includes various knee problems like meniscus or ligament tears.
Other knee injuries
Encompasses knee injuries not classified elsewhere, like meniscus tears.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the tear traumatic?
Yes
Which knee?
No
Which knee?
When to use each related code
Description |
---|
Medial meniscus tear |
Lateral meniscus tear |
Meniscal degeneration |
Lack of documentation specifying medial meniscus tear (e.g., lateral, posterior horn) leads to coding errors and claim denials. Crucial for accurate ICD-10 and CPT coding.
Unspecified etiology (traumatic vs. degenerative/chronic) impacts code selection (e.g., M23.2 vs. M23.3) affecting reimbursement and quality metrics.
Missing documentation of associated ligament injuries (ACL, MCL) impacts severity and treatment, leading to undercoding and lost revenue.
Patient presents with complaints consistent with a medial meniscus tear. Symptoms include medial knee pain, clicking, catching, locking, and swelling. Onset of symptoms occurred [duration] ago and was [acute or insidious] following [mechanism of injury, e.g., twisting injury while playing sports, or gradual onset with repetitive squatting]. Patient reports [intermittent or constant] pain, rated [pain scale rating out of 10] in severity, exacerbated by [activities such as squatting, kneeling, twisting] and alleviated by [activities such as rest, ice, elevation]. Physical examination reveals tenderness along the medial joint line, positive McMurray's test, and limited range of motion. Differential diagnosis includes medial collateral ligament injury, patellofemoral pain syndrome, and osteoarthritis. Preliminary diagnosis of medial meniscus tear is made based on history, physical examination, and clinical findings. Imaging, such as MRI of the left or right knee, is recommended to confirm the diagnosis and assess the extent of the tear. Treatment plan may include conservative management with physical therapy, pain management with NSAIDs or other analgesics, corticosteroid injection, or surgical intervention such as meniscus repair or meniscectomy. Patient education provided on activity modification, bracing, and expected recovery time. Follow-up appointment scheduled in [duration] to assess treatment response and discuss further management options. ICD-10 code M23.2_ (specify laterality and tear type if known) is considered.