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

ICD-10 Coding for Right Knee ACL Tear

S83.511A
M23.511

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

Also Known as:
Right ACL Injury
Right Anterior Cruciate Ligament Tear
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Key Information: ICD-10 Coding for Right Knee ACL Tear

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

Use ICD-10 code S83.511A for sprain of anterior cruciate ligament of right knee, initial encounter, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Sprain of anterior cruciate ligament of right knee, initial encounter

Billable Code
S83.511A
Billable

Diagnostic Criteria

clinical:
  • • Acute injury with MRI confirmation
documentation:
  • • Documented as 'tear' or 'sprain', not 'disruption'

Applicable To

  • • Acute ACL tear of right knee

Important Notes

  • • Ensure laterality and acuteness are documented.

Chronic instability of right knee

Non-Billable
M23.511
Non-Billable

Applicable To

  • • Old ACL tear with instability

Important Notes

  • • Ensure documentation specifies chronicity.
Ancillary Codes

Additional codes that may be used with this diagnosis

Y93.64

Activity, soccer

Use to specify the activity during which the injury occurred.

Frequently Asked Questions

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

The ICD-10 code for an acute right knee ACL tear is S83.511A, used for initial encounters. For chronic instability due to an old ACL tear, use M23.511.

How do you document a right knee ACL tear?

Documentation should include the mechanism of injury, laterality, acuteness, physical exam findings, and imaging results. Use specific terms like 'acute tear' and 'right knee'.

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