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Home/Diagnosis/ICD-10 Coding for Tear of the ACL

ICD-10 Coding for Tear of the ACL

S83.511A
S83.512A

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

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

Essential facts and insights about ICD-10 Coding for Tear of the ACL

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

Primary ICD-10-CM Codes

Tear of anterior cruciate ligament of right knee, initial encounter

Billable Code
S83.511A
Billable

Diagnostic Criteria

clinical:
  • • MRI shows fiber discontinuity
documentation:
  • • Documentation specifies 'complete rupture' and laterality

Applicable To

  • • Acute tear of right ACL

Important Notes

  • • Ensure documentation specifies laterality and encounter type.

Tear of anterior cruciate ligament of left knee, initial encounter

Billable Code
S83.512A
Billable

Diagnostic Criteria

clinical:
  • • MRI shows fiber discontinuity
documentation:
  • • Documentation specifies 'complete rupture' and laterality

Applicable To

  • • Acute tear of left ACL

Important Notes

  • • Ensure documentation specifies laterality and encounter type.
Ancillary Codes

Additional codes that may be used with this diagnosis

W01.0XXA

Fall on same level, initial encounter

Use to describe the external cause of the ACL tear.

Frequently Asked Questions

What is the ICD-10 code for an ACL tear?

The ICD-10 code for an acute tear of the anterior cruciate ligament (ACL) is S83.511A for the right knee and S83.512A for the left knee, specifying initial encounters.

How do you document an ACL tear?

Document an ACL tear by specifying laterality, encounter type, mechanism of injury, and confirmation method such as MRI findings.

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