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Home/Diagnosis/ICD-10 Coding for Knee Chondromalacia

ICD-10 Coding for Knee Chondromalacia

M94.261
M94.262
M22.4

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

Also Known as:
Chondromalacia Patellae
Patellar Chondromalacia
Cartilage Degeneration of the Knee
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Key Information: ICD-10 Coding for Knee Chondromalacia

Essential facts and insights about ICD-10 Coding for Knee Chondromalacia

Use ICD-10 code M94.261 for chondromalacia, right knee, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Chondromalacia, right knee

Billable Code
M94.261
Billable

Diagnostic Criteria

clinical:
  • • MRI confirms cartilage damage in non-patellar areas.
documentation:
  • • Documentation specifies 'right knee' and non-patellar location.

Applicable To

  • • Chondromalacia of the medial femoral condyle
  • • Chondromalacia of the lateral femoral condyle

Important Notes

  • • Ensure documentation specifies the exact location and laterality.

Chondromalacia, left knee

Billable Code
M94.262
Billable

Applicable To

  • • Chondromalacia of the medial femoral condyle
  • • Chondromalacia of the lateral femoral condyle

Important Notes

  • • Ensure documentation specifies the exact location and laterality.

Chondromalacia patellae

Non-Billable
M22.4
Non-Billable

Applicable To

  • • Patellar cartilage damage

Important Notes

  • • Ensure documentation specifies patellar involvement.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.561

Pain in right knee

Use as a secondary code if pain management is a focus.

M25.562

Pain in left knee

Use as a secondary code if pain management is a focus.

Frequently Asked Questions

What is the ICD-10 code for left knee chondromalacia?

The ICD-10 code for left knee chondromalacia is M94.262, which covers chondromalacia affecting non-patellar areas of the left knee.

How do you code chondromalacia patellae?

Chondromalacia patellae is coded as M22.4 in ICD-10, used when the condition is isolated to the patella.

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