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

ICD-10 Coding for Right Knee Swelling

M25.461
M17.11

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

Also Known as:
Right Knee Effusion
Right Knee Fluid Accumulation
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Key Information: ICD-10 Coding for Right Knee Swelling

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

Use ICD-10 code M25.461 for effusion, right knee, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Effusion, right knee

Billable Code
M25.461
Billable

Diagnostic Criteria

  • • Confirmed fluid accumulation via imaging or physical exam

Applicable To

  • • Right knee swelling due to fluid accumulation

Important Notes

  • • Ensure documentation specifies effusion and laterality.

Unilateral primary osteoarthritis, right knee

Billable Code
M17.11
Billable

Diagnostic Criteria

  • • X-ray showing joint space narrowing and osteophytes

Applicable To

  • • Degenerative joint disease of right knee

Important Notes

  • • Document radiographic evidence of osteoarthritis.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.11

Acute pain due to trauma

Use when acute pain accompanies swelling due to trauma.

Frequently Asked Questions

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

The ICD-10 code for right knee swelling due to effusion is M25.461. This code is used when fluid accumulation is confirmed in the right knee joint.

How do you document right knee effusion?

Document right knee effusion by noting specific tests like a positive bulge sign or ultrasound showing fluid ≥4mm. Include any imaging results and clinical findings.

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