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

ICD-10 Coding for Right Knee Pain

M25.561
M17.11

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

Also Known as:
Pain in right knee
Right knee discomfort
R Knee Pain
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Key Information: ICD-10 Coding for Right Knee Pain

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

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 localized to the right knee without specific injury or osteoarthritis.
documentation:
  • • Explicit mention of 'right knee pain' in clinical notes.

Applicable To

  • • Right knee joint pain

Important Notes

  • • Ensure laterality is documented as right knee to use this code.

Unilateral primary osteoarthritis, right knee

Billable Code
M17.11
Billable

Diagnostic Criteria

clinical_validation_requirements:
  • • Radiographic evidence of osteoarthritis

Applicable To

  • • Primary osteoarthritis of right knee

Important Notes

  • • Always code osteoarthritis first if confirmed.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.29

Other chronic pain

Use for chronic pain lasting more than 3 months.

Frequently Asked Questions

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

The ICD-10 code for right knee pain is M25.561. It is used when the pain is specifically in the right knee without a known injury or osteoarthritis.

How do you code chronic right knee pain?

For chronic right knee pain, use M25.561 and add G89.29 if the pain has persisted for more than three months.

When should M17.11 be used instead of M25.561?

Use M17.11 when right knee pain is due to confirmed osteoarthritis, as evidenced by radiographic findings.

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