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Home/Diagnosis/ICD-10 Coding for Knee Joint Pain

ICD-10 Coding for Knee Joint Pain

M25.561
M25.562
G89.29

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

Also Known as:
Knee Pain
Pain in Knee Joint
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Key Information: ICD-10 Coding for Knee Joint Pain

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

clinical:
  • • Pain localized to the right knee without injury
documentation:
  • • Laterality must be specified

Applicable To

  • • Localized pain in right knee

Important Notes

  • • Ensure documentation specifies laterality and excludes injury-related causes.

Pain in left knee

Billable Code
M25.562
Billable

Diagnostic Criteria

clinical:
  • • Pain localized to the left knee without injury
documentation:
  • • Laterality must be specified

Applicable To

  • • Localized pain in left knee

Important Notes

  • • Ensure documentation specifies laterality and excludes injury-related causes.

Other chronic pain

Billable Code
G89.29
Billable

Diagnostic Criteria

clinical:
  • • Pain duration greater than 3 months
  • • Impact on daily activities

Applicable To

  • • Chronic pain not elsewhere classified

Important Notes

  • • Ensure chronicity and functional impact are documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.29

Other chronic pain

Use when the pain is chronic and requires management.

Frequently Asked Questions

What is the ICD-10 code for knee joint pain?

The ICD-10 code for knee joint pain is M25.56, with specific codes for right (M25.561) and left (M25.562) knee pain.

How do you code chronic knee pain?

Chronic knee pain is coded with G89.29 for chronic pain, along with M25.561 or M25.562 for site-specific pain.

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