ICD-10 Coding for Osgood-Schlatter Disease(M92.521, M92.522, M92.523)
Complete ICD-10-CM coding and documentation guide for Osgood-Schlatter Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Osgood-Schlatter Disease
M92.52-M92.529Primary Range
Juvenile osteochondrosis of tibia tubercle
This range specifically covers Osgood-Schlatter disease, requiring laterality specification.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M92.521 | Juvenile osteochondrosis of tibia tubercle, right leg | Use when Osgood-Schlatter disease is confirmed in the right leg with clinical and imaging evidence. |
|
| M92.522 | Juvenile osteochondrosis of tibia tubercle, left leg | Use when Osgood-Schlatter disease is confirmed in the left leg with clinical and imaging evidence. |
|
| M92.523 | Juvenile osteochondrosis of tibia tubercle, bilateral | Use when Osgood-Schlatter disease is confirmed bilaterally with clinical and imaging evidence. |
|
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 Osgood-Schlatter disease
Essential facts and insights about Osgood-Schlatter Disease
Primary ICD-10-CM Codes for osgood schlatter disease
Decision Criteria
clinical Criteria
- Presence of tenderness at the tibial tubercle and imaging confirmation.
documentation Criteria
- Documented laterality and clinical findings.
Applicable To
- Osgood-Schlatter disease of right leg
Clinical Validation Requirements
- Tenderness at right tibial tubercle
- X-ray showing fragmentation of tibial tubercle
Code-Specific Risks
- Incorrect laterality documentation
- Lack of imaging confirmation
Coding Notes
- Ensure laterality is documented and confirmed through clinical and imaging findings.
M92.522 - Juvenile osteochondrosis of tibia tubercle, left leg
Use when Osgood-Schlatter disease is confirmed in the left leg with clinical and imaging evidence.
Applicable To
- Osgood-Schlatter disease of left leg
Excludes
- Blount's disease (M92.51_)
- Patellar tendonitis (S86.10_)
Clinical Validation Requirements
- Tenderness at left tibial tubercle
- X-ray showing fragmentation of tibial tubercle
Coding Notes
Ensure laterality is documented and confirmed through clinical and imaging findings.
M92.523 - Juvenile osteochondrosis of tibia tubercle, bilateral
Use when Osgood-Schlatter disease is confirmed bilaterally with clinical and imaging evidence.
Applicable To
- Osgood-Schlatter disease, bilateral
Excludes
- Blount's disease (M92.51_)
- Patellar tendonitis (S86.10_)
Clinical Validation Requirements
- Bilateral tenderness at tibial tubercles
- X-ray showing bilateral fragmentation of tibial tubercles
Coding Notes
Ensure laterality is documented and confirmed through clinical and imaging findings.
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 Osgood-Schlatter Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M92.521.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Ensure imaging results are included in the patient's record., Train staff on the importance of complete documentation.
Impact
Reimbursement: May lead to denied claims due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces the accuracy of clinical data.
Mitigation Strategy
Ensure laterality is specified and use the correct code for the affected side.
Impact
Inadequate documentation of laterality can lead to coding errors.
Mitigation Strategy
Implement a checklist for documenting laterality in clinical notes.
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 Osgood-Schlatter Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Osgood-Schlatter Disease
Use these documentation templates to ensure complete and accurate documentation for Osgood-Schlatter Disease. These templates include all required elements for proper coding and billing.
Orthopedic evaluation of Osgood-Schlatter disease
Specialty: OrthopedicsRequired Elements
- Patient age and activity level
- Detailed knee examination findings
- Imaging results
- Treatment plan
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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