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Home/Diagnosis/ICD-10 Coding for ACL Tear

ICD-10 Coding for ACL Tear

S83.511A
S83.512A

Complete ICD-10-CM coding and documentation guide for icd-10 coding for acl tear includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Anterior Cruciate Ligament Tear
ACL Injury
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Key Information: ICD-10 Coding for ACL Tear

Essential facts and insights about ICD-10 Coding for ACL Tear

Use ICD-10 code S83.511A for sprain of anterior cruciate ligament of right knee, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sprain of anterior cruciate ligament of right knee, initial encounter

Billable Code
S83.511A
Billable

Diagnostic Criteria

clinical:
  • • MRI shows complete ACL tear
documentation:
  • • Documentation specifies 'acute tear' and laterality

Applicable To

  • • Acute ACL tear of right knee

Important Notes

  • • Ensure documentation specifies 'tear' or 'sprain' to avoid incorrect coding as dislocation.

Sprain of anterior cruciate ligament of left knee, initial encounter

Billable Code
S83.512A
Billable

Diagnostic Criteria

Applicable To

  • • Acute ACL tear of left knee

Important Notes

  • • Ensure documentation specifies 'tear' or 'sprain' to avoid incorrect coding as dislocation.
Ancillary Codes

Additional codes that may be used with this diagnosis

M23.51

Chronic instability of knee

Use for chronic ACL insufficiency without recent trauma.

M23.52

Chronic instability of knee

Use for chronic ACL insufficiency without recent trauma.

Frequently Asked Questions

What is the ICD-10 code for an ACL tear?

The ICD-10 code for an acute ACL tear of the right knee is S83.511A, and for the left knee, it is S83.512A.

How do you code a chronic ACL tear?

Chronic ACL insufficiency is coded as M23.51 for the right knee and M23.52 for the left knee.

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