ICD-10 Coding for Degenerative Joint Disease of the Right Knee(M17.11)
Complete ICD-10-CM coding and documentation guide for Degenerative Joint Disease of the 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 the Right Knee
M15-M19Primary Range
Osteoarthritis
This range includes codes for various forms of osteoarthritis, including primary and secondary types affecting different joints.
Key Information: ICD-10 code for DJD right knee
Essential facts and insights about Degenerative Joint Disease of the Right Knee
Primary ICD-10-CM Code for djd right knee
Decision Criteria
clinical Criteria
- Radiographic evidence of osteoarthritis in the right knee
documentation Criteria
- Documentation must specify 'primary' and 'right knee'
Applicable To
- Primary osteoarthritis of the right knee
Excludes
- Post-traumatic osteoarthritis (M17.31)
Clinical Validation Requirements
- Radiographic evidence of joint space narrowing
- Presence of osteophytes
- Clinical symptoms such as pain and stiffness
Code-Specific Risks
- Misclassification as secondary osteoarthritis
- Using unspecified codes like M17.10
Coding Notes
- Ensure documentation specifies 'primary' osteoarthritis and laterality.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pain in right knee
M25.561Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Unilateral post-traumatic osteoarthritis, right knee
M17.31Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Degenerative Joint Disease of the 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: May lead to inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Use standardized templates, Regular training on documentation requirements
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Decreases the accuracy of clinical data.
Mitigation Strategy
Always specify laterality and type of osteoarthritis.
Impact
High risk of audit if unspecified codes are used when specific codes are applicable.
Mitigation Strategy
Implement checks to ensure laterality and type are documented.
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 the Right Knee, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Degenerative Joint Disease of the Right Knee
Use these documentation templates to ensure complete and accurate documentation for Degenerative Joint Disease of the Right Knee. These templates include all required elements for proper coding and billing.
Orthopedic assessment of right knee osteoarthritis
Specialty: OrthopedicsRequired Elements
- Patient history
- Physical examination findings
- Radiographic evidence
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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