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Home/Diagnosis/ICD-10 Coding for Knee Infection

ICD-10 Coding for Knee Infection

T84.54XA
M00.861

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

Also Known as:
Prosthetic Joint Infection
Septic Arthritis of the Knee
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Key Information: ICD-10 Coding for Knee Infection

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

Use ICD-10 code T84.54XA for infection and inflammatory reaction due to internal joint prosthesis, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Infection and inflammatory reaction due to internal joint prosthesis, initial encounter

Billable Code
T84.54XA
Billable

Diagnostic Criteria

  • • Synovial fluid WBC >1,700 cells/μL
  • • Positive synovial fluid culture

Applicable To

  • • Prosthetic joint infection

Important Notes

  • • Ensure to document the laterality and the specific organism causing the infection.

Direct infection of right knee in infectious and parasitic diseases classified elsewhere

Billable Code
M00.861
Billable

Diagnostic Criteria

  • • Positive blood or synovial fluid culture
  • • Acute onset of knee pain and swelling

Applicable To

  • • Septic arthritis of the knee

Important Notes

  • • Ensure documentation specifies the absence of a prosthetic joint.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z96.65

Presence of artificial knee joint

Use as a secondary code to indicate the presence of a prosthetic knee.

Frequently Asked Questions

What is the ICD-10 code for knee infection?

The ICD-10 code for a knee infection related to a prosthetic joint is T84.54XA, while M00.861 is used for septic arthritis in a native knee.

How do you code a prosthetic joint infection?

Code T84.54XA is used for prosthetic joint infections, with additional codes for the organism and prosthesis presence.

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