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Home/Diagnosis/ICD-10 Coding for Meniscus Tear Right Knee

ICD-10 Coding for Meniscus Tear Right Knee

S83.231A
M23.231

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

Also Known as:
Right Knee Meniscal Tear
Torn Meniscus Right Knee
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Key Information: ICD-10 Coding for Meniscus Tear Right Knee

Essential facts and insights about ICD-10 Coding for Meniscus Tear Right Knee

Use ICD-10 code S83.231A for complex tear of medial meniscus, current injury, right knee, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Complex tear of medial meniscus, current injury, right knee, initial encounter

Billable Code
S83.231A
Billable

Diagnostic Criteria

clinical:
  • • Presence of acute traumatic event leading to meniscus tear
documentation:
  • • Detailed description of the injury mechanism and tear type

Applicable To

  • • Acute complex tear of medial meniscus

Important Notes

  • • Ensure documentation specifies 'acute' and 'traumatic' to avoid defaulting to chronic codes.

Complex tear of medial meniscus, old tear or injury

Billable Code
M23.231
Billable

Diagnostic Criteria

clinical:
  • • MRI showing degenerative changes
  • • Symptoms persisting for more than 3 months

Applicable To

  • • Chronic complex tear of medial meniscus

Important Notes

  • • Ensure chronicity is documented to avoid misclassification as acute.
Ancillary Codes

Additional codes that may be used with this diagnosis

M17.11

Unilateral primary osteoarthritis, right knee

Use if osteoarthritis is present alongside the meniscus tear.

Z87.81

Personal history of (healed) traumatic fracture

Use if there is a history of knee trauma contributing to the current condition.

Frequently Asked Questions

What is the ICD-10 code for a meniscus tear in the right knee?

The ICD-10 code for an acute meniscus tear in the right knee is S83.231A, while chronic tears are coded as M23.231.

How do you document a meniscus tear in the right knee?

Document the type of tear, laterality, mechanism of injury, and whether it is acute or chronic to ensure accurate coding.

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