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Home/Diagnosis/ICD-10 Coding for Degenerative Joint Disease

ICD-10 Coding for Degenerative Joint Disease

M17.11
M16.12

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

Also Known as:
Osteoarthritis
DJD
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Key Information: ICD-10 Coding for Degenerative Joint Disease

Essential facts and insights about ICD-10 Coding for Degenerative Joint Disease

Use ICD-10 code M17.11 for unilateral primary osteoarthritis, right knee, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Unilateral primary osteoarthritis, right knee

Billable Code
M17.11
Billable

Diagnostic Criteria

clinical:
  • • Radiographic evidence of joint space narrowing ≥2mm
  • • Patient reports knee pain and stiffness
documentation:
  • • Specific mention of 'primary osteoarthritis' and 'right knee'

Applicable To

  • • Primary osteoarthritis of right knee

Important Notes

  • • Ensure documentation specifies laterality and primary nature of osteoarthritis.

Bilateral primary osteoarthritis of hip

Billable Code
M16.12
Billable

Diagnostic Criteria

clinical:
  • • Radiographic evidence of osteophytes and joint space narrowing
  • • Patient reports bilateral hip pain

Applicable To

  • • Primary osteoarthritis of both hips

Important Notes

  • • Ensure documentation specifies bilateral involvement.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.561

Pain in right knee

Use when pain severity impacts treatment decisions.

Frequently Asked Questions

What is the ICD-10 code for degenerative joint disease?

The ICD-10 code for degenerative joint disease, also known as osteoarthritis, varies by joint and laterality. For example, M17.11 is used for unilateral primary osteoarthritis of the right knee.

How do you code bilateral hip osteoarthritis?

Bilateral hip osteoarthritis is coded as M16.12, indicating primary osteoarthritis affecting both hips.

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