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

ICD-10 Coding for Pain in Knee

M25.561
M25.562
M25.569

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

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

Essential facts and insights about ICD-10 Coding for Pain in Knee

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 reported in the right knee without specific diagnosis
documentation:
  • • Laterality must be documented

Applicable To

  • • Right knee pain

Important Notes

  • • Ensure documentation supports the use of this code, particularly laterality and absence of specific diagnosis.

Pain in left knee

Billable Code
M25.562
Billable

Diagnostic Criteria

clinical:
  • • Pain reported in the left knee without specific diagnosis
documentation:
  • • Laterality must be documented

Applicable To

  • • Left knee pain

Important Notes

  • • Ensure documentation supports the use of this code, particularly laterality and absence of specific diagnosis.

Pain in unspecified knee

Billable Code
M25.569
Billable

Diagnostic Criteria

clinical:
  • • Pain reported in the knee without specific diagnosis
documentation:
  • • Laterality not specified

Applicable To

  • • Unspecified knee pain

Important Notes

  • • Use sparingly; specify laterality whenever possible.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.29

Other chronic pain

Use when the encounter is focused on managing chronic pain.

Frequently Asked Questions

What is the ICD-10 code for pain in the right knee?

The ICD-10 code for pain in the right knee is M25.561. It is used when the patient presents with pain specifically in the right knee without a confirmed underlying condition.

How do you document knee pain for ICD-10 coding?

Document knee pain by specifying laterality, duration, severity, and any failed treatments. Include imaging results if available to support specific diagnoses like osteoarthritis.

When should G89.29 be used with knee pain codes?

Use G89.29 when the encounter is focused on managing chronic knee pain, such as during a pain management visit.

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