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

ICD-10 Coding for Swelling of Right Knee

M25.461
S83.011A

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

Also Known as:
Right Knee Effusion
Right Knee Edema
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Key Information: ICD-10 Coding for Swelling of Right Knee

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

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

clinical:
  • • Presence of knee effusion without trauma
documentation:
  • • Absence of infection indicators

Applicable To

  • • Swelling of right knee

Important Notes

  • • Ensure documentation specifies laterality and absence of trauma.

Sprain of anterior cruciate ligament of right knee, initial encounter

Billable Code
S83.011A
Billable

Diagnostic Criteria

clinical:
  • • Mechanism of injury documented
  • • Clinical examination confirming ligament involvement

Applicable To

  • • Acute traumatic swelling of right knee

Important Notes

  • • Ensure documentation includes the mechanism of injury.
Ancillary Codes

Additional codes that may be used with this diagnosis

M17.9

Osteoarthritis of knee, unspecified

Use if imaging confirms degenerative changes.

M10.061

Gout, right knee

Use if uric acid levels are elevated and synovial fluid analysis confirms gout.

Frequently Asked Questions

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

The ICD-10 code for swelling of the right knee is M25.461. This code is used when there is joint effusion without a specific underlying cause like trauma or infection.

How do you document swelling in the right knee?

Documentation should include laterality, absence of trauma, and clinical findings such as effusion confirmation. This ensures accurate coding and differentiation from traumatic causes.

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