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Home/Diagnosis/ICD-10 Coding for Patellofemoral Pain Syndrome

ICD-10 Coding for Patellofemoral Pain Syndrome

M22.2X1
M22.2X2

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

Also Known as:
Runner's Knee
Anterior Knee Pain
pfps
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Key Information: ICD-10 Coding for Patellofemoral Pain Syndrome

Essential facts and insights about ICD-10 Coding for Patellofemoral Pain Syndrome

Use ICD-10 code M22.2X1 for disorders of patella, right knee, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Disorders of patella, right knee

Billable Code
M22.2X1
Billable

Diagnostic Criteria

clinical:
  • • Presence of retropatellar pain exacerbated by specific activities.
documentation:
  • • Detailed description of pain location and activity-related exacerbation.

Applicable To

  • • Patellofemoral pain syndrome, right knee

Important Notes

  • • Ensure documentation supports PFPS-specific symptoms and excludes other conditions.

Disorders of patella, left knee

Billable Code
M22.2X2
Billable

Diagnostic Criteria

clinical:
  • • Presence of retropatellar pain exacerbated by specific activities.
documentation:
  • • Detailed description of pain location and activity-related exacerbation.

Applicable To

  • • Patellofemoral pain syndrome, left knee

Important Notes

  • • Ensure documentation supports PFPS-specific symptoms and excludes other conditions.
Ancillary Codes

Additional codes that may be used with this diagnosis

M62.81-

Muscle weakness (generalized)

Use if hip muscle weakness is contributing to PFPS.

Frequently Asked Questions

What is the ICD-10 code for patellofemoral pain syndrome?

The ICD-10 code for patellofemoral pain syndrome is M22.2X, with specific codes for laterality: M22.2X1 for the right knee and M22.2X2 for the left knee.

How do you document patellofemoral pain syndrome?

Document specific symptoms such as retropatellar pain during stair climbing and positive physical exam findings like the patellar grind test.

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