ICD-10 Coding for Medial Meniscus Tear of the Right Knee(S83.22XA, M23.221)
Complete ICD-10-CM coding and documentation guide for Medial Meniscus Tear 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 Medial Meniscus Tear of the Right 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 |
|---|---|---|---|
| S83.22XA | Tear of medial meniscus, current injury, right knee, initial encounter | Use for initial encounter of an acute medial meniscus tear in the right knee. |
|
| M23.221 | Derangement of medial meniscus due to old tear or injury, right knee | Use for chronic instability of the medial meniscus in the right knee due to a previous tear. |
|
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 medial meniscus tear right knee
Essential facts and insights about Medial Meniscus Tear of the Right Knee
Primary ICD-10-CM Codes for medial meniscus tear right knee
Decision Criteria
clinical Criteria
- MRI confirmation of medial meniscus tear
documentation Criteria
- Specify laterality and encounter type
Applicable To
- Acute medial meniscus tear, right knee
Excludes
- Chronic meniscus tear (M23.2-)
Clinical Validation Requirements
- MRI confirmation of tear
- Positive McMurray’s test
Code-Specific Risks
- Ensure laterality and encounter type are documented.
Coding Notes
- Ensure documentation specifies 'right knee' and encounter type.
M23.221 - Derangement of medial meniscus due to old tear or injury, right knee
Use for chronic instability of the medial meniscus in the right knee due to a previous tear.
Applicable To
- Chronic instability of medial meniscus, right knee
Excludes
- Acute meniscus tear (S83.2-)
Clinical Validation Requirements
- History of previous meniscus tear
- Recurrent knee instability
Coding Notes
Document chronicity and previous injury history.
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.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Medial Meniscus Tear of the Right Knee to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S83.22XA.
Impact
Clinical: Inaccurate treatment tracking., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Use templates that prompt for encounter type., Educate staff on importance of complete documentation.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with ICD-10 coding standards., Data Quality: Decreases accuracy of patient records.
Mitigation Strategy
Always specify laterality in documentation and use specific codes.
Impact
Using the wrong 7th character for encounter type.
Mitigation Strategy
Implement checks to ensure correct character usage based on documentation.
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 Medial Meniscus Tear of the Right Knee, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Medial Meniscus Tear of the Right Knee
Use these documentation templates to ensure complete and accurate documentation for Medial Meniscus Tear of the Right Knee. These templates include all required elements for proper coding and billing.
Initial Evaluation of Acute Medial Meniscus Tear
Specialty: OrthopedicsRequired Elements
- Patient history
- 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 Medial Meniscus Tear of the Right Knee? Ask your questions below.