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Home/Diagnosis/ICD-10 Coding for Knee Pain

ICD-10 Coding for Knee Pain

M25.561
M25.562

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

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

Essential facts and insights about ICD-10 Coding for Knee 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 right knee without definitive diagnosis
documentation:
  • • Laterality must be specified in documentation

Applicable To

  • • Localized pain in right knee joint

Important Notes

  • • Ensure laterality is documented to avoid unspecified coding.

Pain in left knee

Billable Code
M25.562
Billable

Diagnostic Criteria

clinical:
  • • Pain localized to left knee without definitive diagnosis
documentation:
  • • Laterality must be specified in documentation

Applicable To

  • • Localized pain in left knee joint

Important Notes

  • • Ensure laterality is documented to avoid unspecified coding.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.29

Other chronic pain

Use for chronic pain lasting more than 3 months, in conjunction with site-specific codes.

Frequently Asked Questions

What is the ICD-10 code for knee pain?

The ICD-10 codes for knee pain are M25.561 for right knee pain and M25.562 for left knee pain. These codes require documentation of laterality.

How do you code chronic knee pain?

Chronic knee pain is coded with M25.561 or M25.562 for site-specific pain, and G89.29 for chronic pain if it persists for more than 3 months.

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