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Home/Diagnosis/ICD-10 Coding for ACL Tear Right Knee

ICD-10 Coding for ACL Tear Right Knee

S83.511A
S83.511D
S83.511S

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

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

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

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 midsubstance ACL fiber discontinuity
documentation:
  • • Documentation specifies right knee and initial encounter

Applicable To

  • • Acute complete tear of right ACL

Important Notes

  • • Ensure documentation specifies laterality and encounter type.

Sprain of anterior cruciate ligament of right knee, subsequent encounter

Billable Code
S83.511D
Billable

Diagnostic Criteria

clinical:
  • • Post-surgical follow-up notes
  • • Physical therapy progress

Applicable To

  • • Follow-up for ACL reconstruction

Important Notes

  • • Ensure encounter type is documented as subsequent.

Sprain of anterior cruciate ligament of right knee, sequela

Billable Code
S83.511S
Billable

Diagnostic Criteria

clinical:
  • • Persistent knee instability
  • • Chronic pain or dysfunction

Applicable To

  • • Chronic ACL deficiency with instability

Important Notes

  • • Ensure documentation reflects chronic sequelae.
Ancillary Codes

Additional codes that may be used with this diagnosis

W01.0XXA

Fall on same level from slipping, tripping and stumbling without subsequent striking against object, initial encounter

Use to describe the external cause of the injury.

Frequently Asked Questions

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

The ICD-10 code for an initial encounter of an ACL tear in the right knee is S83.511A. This code specifies the injury's laterality and encounter type.

How do you document an ACL tear for coding?

Documentation should include laterality, encounter type, mechanism of injury, and clinical findings such as MRI results and physical exam tests like the Lachman test.

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