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S83.249A
ICD-10-CM
Tear of Medial Meniscus

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

Medial Meniscus Tear
Meniscal Tear

Diagnosis Snapshot

Key Facts
  • Definition : A rip in the C-shaped cartilage of the inner knee, often from twisting or direct impact.
  • Clinical Signs : Knee pain, swelling, stiffness, clicking or popping, limited range of motion, locking sensation.
  • Common Settings : Sports injuries, degenerative changes, workplace accidents, falls.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC S83.249A Coding
S83.2

Tear of medial meniscus

Traumatic tear of the medial meniscus of the knee.

M23

Internal derangement of knee

Includes various knee problems like meniscus or ligament tears.

S83

Other knee injuries

Encompasses knee injuries not classified elsewhere, like meniscus tears.

Code-Specific Guidance

Decision Tree for

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

Is the tear traumatic?

  • Yes

    Which knee?

  • No

    Which knee?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Medial meniscus tear
Lateral meniscus tear
Meniscal degeneration

Documentation Best Practices

Documentation Checklist
  • Document mechanism of injury (e.g., twisting, trauma)
  • Specify location and type of tear (e.g., posterior horn, radial)
  • Include McMurrays or Thessaly test results
  • Note any locking, clicking, or instability symptoms
  • Correlate imaging findings (e.g., MRI) with exam

Coding and Audit Risks

Common Risks
  • Meniscus Tear Specificity

    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.

  • Traumatic vs. Degenerative

    Unspecified etiology (traumatic vs. degenerative/chronic) impacts code selection (e.g., M23.2 vs. M23.3) affecting reimbursement and quality metrics.

  • Associated ACL/MCL Injury

    Missing documentation of associated ligament injuries (ACL, MCL) impacts severity and treatment, leading to undercoding and lost revenue.

Mitigation Tips

Best Practices
  • Accurate ICD-10 coding: S83.4 medial meniscus tear
  • Thorough documentation: laterality, type of tear
  • MRI confirms diagnosis: optimize reimbursement
  • Compliance: code specific location, acuity
  • CDI: Query for tear details, mechanism

Clinical Decision Support

Checklist
  • 1. Joint line tenderness medial knee ICD-10: S73.2xxA, M23.2xxA
  • 2. Positive McMurray's test Documentation: Describe click/pain
  • 3. Pain with forced hyperextension SNOMED CT: 426490008
  • 4. MRI confirms meniscal tear CPT: 73721

Reimbursement and Quality Metrics

Impact Summary
  • **Reimbursement and Quality Metrics Impact Summary: Tear of Medial Meniscus**
  • **Keywords:** Medical billing, coding accuracy, ICD-10 M23.2-, CPT 29880-29883, meniscus tear, knee surgery, orthopedics, reimbursement rates, payer policies, quality measures, hospital reporting, denials management, revenue cycle management
  • **Impact 1:** Accurate coding (M23.2x, CPT 2988x) maximizes reimbursement.
  • **Impact 2:** Proper documentation supports medical necessity for optimal payer coverage.
  • **Impact 3:** Timely filing reduces denials and improves revenue cycle.
  • **Impact 4:** Surgical quality measures influence hospital reimbursement and public reporting.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code S83.2xx for medial meniscus tear
  • Specify laterality: right, left, or unspecified
  • Document mechanism of injury for accurate coding
  • Consider acute vs chronic and traumatic vs degenerative
  • Add 7th character for encounter type (initial, subsequent, sequela)

Documentation Templates

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.
Tear of Medial Meniscus - AI-Powered ICD-10 Documentation