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Home/Diagnosis/ICD-10 Coding for Chronic Bilateral Knee Pain

ICD-10 Coding for Chronic Bilateral Knee Pain

M25.561
M25.562
M17.0

Complete ICD-10-CM coding and documentation guide for icd-10 coding for chronic bilateral knee pain includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Chronic Pain in Both Knees
Bilateral Knee Arthralgia
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Key Information: ICD-10 Coding for Chronic Bilateral Knee Pain

Essential facts and insights about ICD-10 Coding for Chronic Bilateral Knee Pain

Use ICD-10 code M25.561 for pain in right knee, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pain in right knee

Billable Code
M25.561
Billable

Diagnostic Criteria

  • • Pain persisting for more than 3 months in the right knee.

Applicable To

  • • Chronic pain in right knee

Important Notes

  • • Ensure documentation specifies 'chronic' and 'right knee'.

Pain in left knee

Billable Code
M25.562
Billable

Diagnostic Criteria

  • • Pain persisting for more than 3 months in the left knee.

Applicable To

  • • Chronic pain in left knee

Important Notes

  • • Ensure documentation specifies 'chronic' and 'left knee'.

Bilateral primary osteoarthritis of knee

Billable Code
M17.0
Billable

Diagnostic Criteria

  • • X-ray or MRI showing joint space narrowing, osteophytes, or subchondral sclerosis

Applicable To

  • • Osteoarthritis confirmed by imaging

Important Notes

  • • Ensure documentation specifies 'bilateral' and 'primary osteoarthritis'.

Other chronic pain

Billable Code
G89.29
Billable

Diagnostic Criteria

  • • Pain diary showing symptoms persisting for more than 3 months

Applicable To

  • • Chronic pain syndrome

Important Notes

  • • Ensure documentation specifies 'chronic' and the impact on daily function.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.29

Other chronic pain

Use to indicate chronic pain when the encounter is not primarily for pain management.

Frequently Asked Questions

What is the ICD-10 code for chronic bilateral knee pain?

Chronic bilateral knee pain is coded with M25.561 for the right knee, M25.562 for the left knee, and G89.29 for chronic pain.

How do you code osteoarthritis of both knees?

Use M17.0 for bilateral primary osteoarthritis of the knee if confirmed by imaging.

When should G89.29 be used with knee pain codes?

Use G89.29 when chronic pain impacts daily function and persists for more than 3 months.

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