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Home/Diagnosis/ICD-10 Coding for ACL Rupture

ICD-10 Coding for ACL Rupture

S83.511A
S83.512A

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

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

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

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:
  • • Confirmed ACL rupture via MRI
documentation:
  • • Documented mechanism of injury

Applicable To

  • • Acute ACL tear of right knee

Important Notes

  • • Ensure to document the mechanism of injury and confirm the diagnosis with imaging.

Sprain of anterior cruciate ligament of left knee, initial encounter

Billable Code
S83.512A
Billable

Diagnostic Criteria

clinical:
  • • Confirmed ACL rupture via MRI
documentation:
  • • Documented mechanism of injury

Applicable To

  • • Acute ACL tear of left knee

Important Notes

  • • Ensure to document the mechanism of injury and confirm the diagnosis with imaging.
Ancillary Codes

Additional codes that may be used with this diagnosis

W01.0XXA

Fall on same level from slipping, tripping and stumbling, initial encounter

Use to describe the mechanism of injury if applicable.

Y93.64

Activity, American football

Use to specify the activity during which the injury occurred.

Frequently Asked Questions

What is the ICD-10 code for ACL rupture?

The ICD-10 code for an acute ACL rupture is S83.511A for the right knee and S83.512A for the left knee, both for initial encounters.

How is an ACL rupture documented?

Document an ACL rupture by specifying laterality, confirming with MRI, and describing the mechanism of injury.

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