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Home/Diagnosis/ICD-10 Coding for Anterior Cruciate Ligament Reconstruction

ICD-10 Coding for Anterior Cruciate Ligament Reconstruction

S83.53-
M23.5-

Complete ICD-10-CM coding and documentation guide for icd-10 coding for anterior cruciate ligament reconstruction includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
ACL Reconstruction
ACL Surgery
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Key Information: ICD-10 Coding for Anterior Cruciate Ligament Reconstruction

Essential facts and insights about ICD-10 Coding for Anterior Cruciate Ligament Reconstruction

Use ICD-10 code S83.53- for traumatic rupture of anterior cruciate ligament, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Traumatic rupture of anterior cruciate ligament

Non-Billable
S83.53-
Non-Billable

Diagnostic Criteria

  • • Acute injury with MRI and Lachman test confirmation.

Applicable To

  • • Acute ACL tear

Important Notes

  • • Ensure acute injury is documented with appropriate clinical findings.

Chronic instability of knee

Non-Billable
M23.5-
Non-Billable

Diagnostic Criteria

  • • Documented instability over 6 months
  • • Failed conservative management

Applicable To

  • • Chronic ACL insufficiency

Important Notes

  • • Ensure chronic instability is well-documented with clinical history.
Ancillary Codes

Additional codes that may be used with this diagnosis

20924

Tendon graft harvest from contralateral extremity

Use when graft is harvested from the opposite knee.

29888

Arthroscopic ACL repair/augmentation/reconstruction

Primary procedure code for ACL reconstruction.

Frequently Asked Questions

What is the ICD-10 code for ACL reconstruction?

The ICD-10 code for ACL reconstruction is primarily S83.53- for acute injuries and M23.5- for chronic instability.

How is ACL reconstruction documented?

ACL reconstruction documentation should include graft type, fixation method, and tunnel positions, ensuring detailed operative notes.

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