ICD-10 Coding for ACL Tear Left Knee(S83.512A)
Complete ICD-10-CM coding and documentation guide for ACL Tear Left Knee. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to ACL Tear Left Knee
S83.51-S83.52Primary Range
Injury of anterior cruciate ligament of knee
This range includes codes for acute and chronic injuries of the ACL, specifically for the left knee.
Key Information: ICD-10 code for ACL tear left knee
Essential facts and insights about ACL Tear Left Knee
Primary ICD-10-CM Code for acl tear left knee
Decision Criteria
clinical Criteria
- Presence of acute injury signs and positive Lachman test
coding Criteria
- Initial encounter for traumatic ACL tear
Applicable To
- Acute ACL tear of left knee
Excludes
- Chronic instability of left knee (M23.511)
Clinical Validation Requirements
- MRI showing complete fiber discontinuity
- Positive Lachman test with significant translation
Code-Specific Risks
- Confusion with chronic conditions
- Omission of external cause codes
Coding Notes
- Ensure documentation specifies 'acute' and 'left knee' to avoid miscoding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pain in left knee
M25.562Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Chronic instability of left knee
M23.511Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting ACL Tear Left Knee to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S83.512A.
Impact
Clinical: Ambiguity in treatment plan, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always specify 'left' or 'right' in documentation, Use templates that prompt for laterality
Impact
Reimbursement: Incorrect coding may lead to reduced reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use S83.512A for acute injuries with documented mechanism and instability.
Impact
Potential for miscoding acute injuries as chronic or vice versa.
Mitigation Strategy
Regular training on documentation and coding updates.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for ACL Tear Left Knee, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for ACL Tear Left Knee
Use these documentation templates to ensure complete and accurate documentation for ACL Tear Left Knee. These templates include all required elements for proper coding and billing.
Initial Evaluation of ACL Tear
Specialty: OrthopedicsRequired Elements
- Mechanism of injury
- Physical exam findings
- Imaging results
- Diagnosis and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for ACL Tear Left Knee? Ask your questions below.