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Home/Diagnosis/ICD-10 Coding for Joint Swelling

ICD-10 Coding for Joint Swelling

M25.461
R60.0

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

Also Known as:
Joint Effusion
Localized Edema
Knee Swelling
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Key Information: ICD-10 Coding for Joint Swelling

Essential facts and insights about ICD-10 Coding for Joint Swelling

Use ICD-10 code M25.461 for effusion, right knee, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Effusion, right knee

Billable Code
M25.461
Billable

Diagnostic Criteria

clinical:
  • • Effusion confirmed by imaging
documentation:
  • • Laterality specified

Applicable To

  • • Right knee effusion

Important Notes

  • • Ensure laterality is documented and confirmed by imaging.

Localized edema

Billable Code
R60.0
Billable

Diagnostic Criteria

clinical:
  • • Absence of effusion on imaging
  • • Documentation of soft tissue swelling

Applicable To

  • • Localized swelling

Important Notes

  • • Ensure documentation specifies localized nature of edema.
Ancillary Codes

Additional codes that may be used with this diagnosis

R60.0

Localized edema

Use when swelling is present without specific joint effusion.

Frequently Asked Questions

What is the ICD-10 code for joint swelling?

The ICD-10 code for joint swelling depends on the specific condition. M25.46- is used for joint effusion, while R60.0 is used for localized edema without effusion.

How do you code knee effusion?

Knee effusion is coded as M25.461 for the right knee or M25.462 for the left knee, provided there is imaging confirmation.

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