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Home/Diagnosis/ICD-10 Coding for Medial Collateral Ligament Sprain

ICD-10 Coding for Medial Collateral Ligament Sprain

S83.411A
S83.412A
S83.419A

Complete ICD-10-CM coding and documentation guide for icd-10 coding for medial collateral ligament sprain includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
MCL Sprain
Medial Knee Ligament Injury
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Key Information: ICD-10 Coding for Medial Collateral Ligament Sprain

Essential facts and insights about ICD-10 Coding for Medial Collateral Ligament Sprain

Use ICD-10 code S83.411A for sprain of medial collateral ligament of right knee, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sprain of medial collateral ligament of right knee, initial encounter

Billable Code
S83.411A
Billable

Diagnostic Criteria

clinical:
  • • Presence of medial knee pain and positive valgus stress test
documentation:
  • • Documented laterality and encounter type

Applicable To

  • • Right knee MCL sprain

Important Notes

  • • Ensure to document the mechanism of injury and confirm with imaging if possible.

Sprain of medial collateral ligament of left knee, initial encounter

Billable Code
S83.412A
Billable

Diagnostic Criteria

Applicable To

  • • Left knee MCL sprain

Important Notes

  • • Ensure to document the mechanism of injury and confirm with imaging if possible.

Sprain of medial collateral ligament of unspecified knee, initial encounter

Billable Code
S83.419A
Billable

Diagnostic Criteria

Applicable To

  • • Unspecified knee MCL sprain

Important Notes

  • • Use only when specific knee cannot be determined.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z98.890

Postprocedural status

Use when documenting post-surgical states.

Frequently Asked Questions

What is the ICD-10 code for a medial collateral ligament sprain?

The ICD-10 code for a medial collateral ligament sprain is S83.41XA, with specific codes for right (S83.411A) and left (S83.412A) knees.

How do you document a medial collateral ligament sprain?

Document the specific knee involved, confirm with imaging, and include details of the injury mechanism and physical exam findings.

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