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Home/Diagnosis/ICD-10 Coding for Patellofemoral Syndrome

ICD-10 Coding for Patellofemoral Syndrome

M22.2X1
M22.2X2
M22.2X9

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

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

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

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

Primary ICD-10-CM Codes

Patellofemoral disorders, right knee

Billable Code
M22.2X1
Billable

Diagnostic Criteria

clinical:
  • • Presence of retropatellar pain and positive patellar grind test.
coding:
  • • Specify laterality to avoid unspecified codes.

Applicable To

  • • Retropatellar pain
  • • Peripatellar pain

Important Notes

  • • Ensure laterality is specified to avoid unspecified codes.

Patellofemoral disorders, left knee

Billable Code
M22.2X2
Billable

Diagnostic Criteria

clinical:
  • • Presence of retropatellar pain and positive patellar grind test.
coding:
  • • Specify laterality to avoid unspecified codes.

Applicable To

  • • Retropatellar pain
  • • Peripatellar pain

Important Notes

  • • Ensure laterality is specified to avoid unspecified codes.

Patellofemoral disorders, unspecified knee

Billable Code
M22.2X9
Billable

Diagnostic Criteria

clinical:
  • • Presence of retropatellar pain and positive patellar grind test.
coding:
  • • Use only when laterality cannot be determined.

Applicable To

  • • Retropatellar pain
  • • Peripatellar pain

Important Notes

  • • Use only when laterality cannot be determined.

Chondromalacia patellae

Non-Billable
M22.4
Non-Billable

Diagnostic Criteria

clinical:
  • • MRI showing cartilage degeneration
  • • Positive clinical tests for chondromalacia

Applicable To

  • • Cartilage degeneration of the patella

Important Notes

  • • Ensure documentation specifies patellar involvement.
Ancillary Codes

Additional codes that may be used with this diagnosis

M25.561

Pain in right knee

Use if pain is disproportionate to imaging findings.

M25.562

Pain in left knee

Use if pain is disproportionate to imaging findings.

M25.569

Pain in unspecified knee

Use if pain is disproportionate to imaging findings.

Frequently Asked Questions

What is the ICD-10 code for patellofemoral syndrome?

The ICD-10 code for patellofemoral syndrome is M22.2X-, with specific codes for laterality: M22.2X1 for right knee, M22.2X2 for left knee, and M22.2X9 for unspecified knee.

How do you document patellofemoral syndrome?

Document patellofemoral syndrome by specifying the affected knee, detailing pain location and severity, and including results from clinical tests like the patellar grind test.

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