ICD-10 Coding for Patella Dislocation(M22.02, S83.002A)
Complete ICD-10-CM coding and documentation guide for Patella Dislocation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Patella Dislocation
M22.0-M22.9Primary Range
Disorders of patella
This range includes codes for recurrent dislocation of the patella, which is a common form of patellar instability.
Dislocation and sprain of joints and ligaments of knee
This range includes codes for acute traumatic dislocations of the knee, including the patella.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M22.02 | Recurrent dislocation of left patella | Use for patients with a history of recurrent dislocations of the left patella. |
|
| S83.002A | Acute dislocation of left patella | Use for first-time traumatic dislocations of the left patella. |
|
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 recurrent dislocation of left patella
Essential facts and insights about Patella Dislocation
Primary ICD-10-CM Codes for patella dislocation
Decision Criteria
clinical Criteria
- Patient has a history of multiple dislocations.
documentation Criteria
- MRI or X-ray confirms trochlear dysplasia.
Applicable To
- Chronic dislocation of left patella
Excludes
- Acute dislocation of left patella (S83.002A)
Clinical Validation Requirements
- Documented history of two or more dislocations
- Imaging showing trochlear dysplasia
Code-Specific Risks
- Confusion with acute dislocation codes
Coding Notes
- Ensure documentation specifies recurrent nature and laterality.
S83.002A - Acute dislocation of left patella
Use for first-time traumatic dislocations of the left patella.
Applicable To
- First-time traumatic dislocation of left patella
Excludes
- Recurrent dislocation of left patella (M22.02)
Clinical Validation Requirements
- Documented traumatic event leading to dislocation
- Imaging showing acute dislocation
Coding Notes
Ensure documentation includes details of the traumatic event and laterality.
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 Patella Dislocation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M22.02.
Impact
Clinical: Affects treatment decisions and outcomes., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims due to incomplete documentation.
Mitigation Strategy
Always document left or right for knee conditions., Use templates that prompt for laterality.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Misclassification affects compliance with coding standards., Data Quality: Impacts the accuracy of patient records and data analysis.
Mitigation Strategy
Verify patient history and document the number of dislocations.
Impact
Failure to document laterality can lead to audit flags.
Mitigation Strategy
Implement mandatory fields for laterality in EHR systems.
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 Patella Dislocation, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Patella Dislocation
Use these documentation templates to ensure complete and accurate documentation for Patella Dislocation. These templates include all required elements for proper coding and billing.
Recurrent Patellar Dislocation
Specialty: OrthopedicsRequired Elements
- Patient history of dislocations
- Physical exam findings
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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