Find clinical documentation and medical coding resources for Total Knee Replacement, Left. This page covers information on TKR left, left knee arthroplasty, ICD-10-CM code for left total knee replacement, CPT code for total knee arthroplasty, left knee replacement surgery, and postoperative care for left TKR. Learn about diagnosis codes, procedure codes, and medical necessity guidelines for accurate healthcare billing and documentation related to total knee replacement of the left knee.
Also known as
Replacement of left knee joint
Total knee replacement, left knee joint.
Replacement of lower leg
Includes replacement of knee and lower leg joints.
Presence of left artificial knee joint
Indicates a patient has a left knee replacement.
Infection/inflammatory reaction
Infection/inflammatory reaction due to left artificial knee joint.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is this a primary total knee replacement?
Yes
Any complications?
No
Is this a revision TKR?
When to use each related code
| Description |
|---|
| Left Total Knee Replacement |
| Post-op Pain, Left Knee |
| Left Knee Stiffness |
| Left Knee Infection |
| Periprosthetic Fracture, Left Knee |
| Left Knee Dislocation |
Incorrectly coding the right knee instead of the left or not specifying laterality, leading to claim denials or inaccurate data.
Failing to code the specific surgical approach (anterior, posterior, etc.) impacting reimbursement and data analysis for TKA procedures.
Missing codes for implanted devices during the left TKR, resulting in lost revenue and inaccurate reporting of procedures.
Q: What are the most effective evidence-based pain management protocols for patients undergoing left total knee replacement, considering both acute postoperative pain and chronic pain management strategies?
A: Effective pain management after left total knee replacement requires a multimodal approach addressing both acute and chronic pain. Acutely, consider a combination of peripheral nerve blocks, periarticular injections, opioids, and NSAIDs. For chronic pain management, explore non-pharmacological options like physical therapy, cryotherapy, TENS, and cognitive behavioral therapy. Consider implementing a patient-specific plan based on comorbidities, pre-operative pain levels, and individual responses to treatment. Explore how to incorporate enhanced recovery after surgery (ERAS) protocols to optimize pain control and functional recovery. Learn more about the latest evidence-based guidelines for managing chronic post-surgical pain.
Q: How can clinicians differentiate between expected post-operative stiffness following left total knee arthroplasty and potential complications like arthrofibrosis or infection, and what are the recommended diagnostic steps?
A: Differentiating expected post-operative stiffness from complications like arthrofibrosis or infection after left total knee arthroplasty necessitates a thorough clinical evaluation. While some stiffness is expected initially, persistent, excessive stiffness accompanied by pain, swelling, redness, warmth, or limited range of motion warrants further investigation. Consider implementing routine monitoring of inflammatory markers like CRP and ESR. Diagnostic steps include aspiration of the joint for analysis and culture to rule out infection, and advanced imaging like MRI or CT scans can help identify arthrofibrosis. Learn more about the specific clinical presentation and diagnostic criteria for these complications to ensure early and appropriate intervention.
Patient presents with chronic left knee pain, stiffness, and functional limitation consistent with osteoarthritis. The patient reports significant pain interfering with activities of daily living (ADLs) such as walking, stair climbing, and rising from a seated position. Conservative treatments including physical therapy, nonsteroidal anti-inflammatory drugs (NSAIDs), and viscosupplementation have failed to provide adequate relief. Physical examination reveals crepitus, decreased range of motion, and tenderness to palpation of the left knee joint. Radiographic imaging confirms advanced osteoarthritis with joint space narrowing, osteophyte formation, and subchondral sclerosis. Diagnosis of osteoarthritis, left knee, is confirmed. After discussing the risks and benefits of surgical intervention, the patient elected to proceed with total knee arthroplasty (TKA), left. The treatment plan includes left total knee replacement surgery. Preoperative assessment, including medical clearance and laboratory testing, is complete. The patient understands the postoperative rehabilitation protocol and has appropriate home support. This procedure is medically necessary to alleviate pain, improve function, and enhance the patient's quality of life. ICD-10 code M17.1 is documented for primary osteoarthritis, left knee. CPT code 27447 is anticipated for the primary total knee replacement procedure, left side. Keywords: Total knee replacement, left knee pain, osteoarthritis knee, TKA, arthroplasty, joint replacement surgery, knee surgery, orthopedic surgery, CPT 27447, ICD-10 M17.1, preoperative assessment, postoperative rehabilitation, medical necessity, functional limitation, crepitus, range of motion, radiographic imaging, joint space narrowing, osteophytes, subchondral sclerosis, NSAIDs, viscosupplementation, physical therapy, ADLs.