ICD-10 Coding for Bilateral Total Knee Replacement(M17.0)
Complete ICD-10-CM coding and documentation guide for Bilateral Total Knee Replacement. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bilateral Total Knee Replacement
M17.0-M17.9Primary Range
Osteoarthritis of knee
This range includes codes for osteoarthritis of the knee, which is a common indication for bilateral total knee replacement.
Presence of artificial knee joint
These codes are used to indicate the presence of a prosthetic knee joint post-surgery.
Key Information: ICD-10 code for bilateral total knee replacement
Essential facts and insights about Bilateral Total Knee Replacement
Primary ICD-10-CM Code for bilateral total knee replacement
Decision Criteria
clinical Criteria
- Bilateral knee pain with radiographic evidence of osteoarthritis
documentation Criteria
- Detailed history of conservative treatment failure
Applicable To
- Primary osteoarthritis of both knees
Clinical Validation Requirements
- X-ray evidence of bilateral joint space narrowing
- Documentation of failed conservative treatments
Code-Specific Risks
- Incorrectly coding as unilateral osteoarthritis
Coding Notes
- Ensure bilateral procedures are documented with appropriate modifiers.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bilateral Total Knee Replacement to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M17.0.
Impact
Clinical: May lead to incorrect clinical interpretation., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Always review procedure documentation for laterality.
Impact
Reimbursement: Incorrect coding can lead to reduced reimbursement., Compliance: May result in compliance issues during audits., Data Quality: Affects the accuracy of clinical data.
Mitigation Strategy
Always use M17.0 for bilateral osteoarthritis.
Impact
Failure to use Modifier 50 for bilateral procedures.
Mitigation Strategy
Implement regular training for coding staff on modifier use.
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 Bilateral Total Knee Replacement, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bilateral Total Knee Replacement
Use these documentation templates to ensure complete and accurate documentation for Bilateral Total Knee Replacement. These templates include all required elements for proper coding and billing.
Simultaneous Bilateral TKA
Specialty: Orthopedic SurgeryRequired Elements
- Indication for surgery
- Details of conservative treatment
- Radiographic findings
- Surgical approach and implant details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Bilateral Total Knee Replacement? Ask your questions below.