ICD-10 Coding for Degenerative Joint Disease of Right Knee(M17.11, M17.31)
Complete ICD-10-CM coding and documentation guide for Degenerative Joint Disease of Right Knee. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Degenerative Joint Disease of Right Knee
M15-M19Primary Range
Osteoarthritis
This range includes all forms of osteoarthritis, including primary and post-traumatic types affecting the knee.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M17.11 | Unilateral primary osteoarthritis, right knee | Use when primary degenerative changes are confirmed by imaging without prior trauma. |
|
| M17.31 | Unilateral post-traumatic osteoarthritis, right knee | Use when OA is directly linked to a previous injury or surgery. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for DJD of right knee
Essential facts and insights about Degenerative Joint Disease of Right Knee
Primary ICD-10-CM Codes for djd of right knee
Decision Criteria
clinical Criteria
- Absence of trauma history and imaging confirmation of OA
Applicable To
- Primary OA of right knee
Excludes
- Post-traumatic osteoarthritis (M17.31)
Clinical Validation Requirements
- X-ray showing joint space narrowing and osteophytes
- No history of trauma
Code-Specific Risks
- Incorrectly coding as post-traumatic without evidence
Coding Notes
- Ensure documentation specifies 'primary' and includes imaging findings.
M17.31 - Unilateral post-traumatic osteoarthritis, right knee
Use when OA is directly linked to a previous injury or surgery.
Applicable To
- Post-traumatic OA of right knee
Excludes
- Primary osteoarthritis (M17.11)
Clinical Validation Requirements
- Documented history of knee trauma or surgery
- Imaging showing degenerative changes
Coding Notes
Document the specific trauma or surgery leading to OA.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Degenerative Joint Disease of Right Knee to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M17.11.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Potential audit issues., Financial: Incorrect reimbursement.
Mitigation Strategy
Review patient history thoroughly, Document any relevant past injuries
Impact
Reimbursement: May lead to denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Always specify laterality and type of OA when documented.
Impact
Failure to document laterality can lead to audit findings.
Mitigation Strategy
Implement checklist for documentation review.
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 Degenerative Joint Disease of Right Knee, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Degenerative Joint Disease of Right Knee
Use these documentation templates to ensure complete and accurate documentation for Degenerative Joint Disease of Right Knee. These templates include all required elements for proper coding and billing.
Primary OA of Right Knee
Specialty: OrthopedicsRequired Elements
- History of present illness
- Physical examination findings
- Imaging results
- Treatment history
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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