2016 icd-10-cm code for plica.

by Arne Frami 10 min read

Plica syndrome, unspecified knee
M67. 50 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD 10 code for plica syndrome?

Plica syndrome. M67.5 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2019 edition of ICD-10-CM M67.5 became effective on October 1, 2018. This is the American ICD-10-CM version of M67.5 - other international versions of ICD-10 M67.5 may differ.

What is a non billable diagnosis?

Non-Billable means the code is not sufficient justification for admission to an acute care hospital when used a principal diagnosis. Use a child code to capture more detail. ICD Code M67.5 is a non-billable code.

What is synovial plica syndrome of right knee ICD 10?

Synovial plica syndrome of right knee ICD-10-CM M67.51 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 557 Tendonitis, myositis and bursitis with mcc 558 Tendonitis, myositis and bursitis without mcc

What is the ICD-10-CM code for medical malpractice?

This is the American ICD-10-CM version of M67.50 - other international versions of ICD-10 M67.50 may differ. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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What is plica syndrome of the knee?

What is plica syndrome? A plica is a fold in the membrane that protects your knee joint. Most people have four folds in each knee. Sometimes the plica located in the middle of your knee becomes irritated. This is called plica syndrome and it's characterized by pain, swelling and instability.

Where is the medial plica located?

The medial plica attaches to the lower end of the patella (kneecap) and runs sideways to attach to the lower end of the thighbone at the side of the knee joint closest to the other knee. Most of us (50 to 70 percent) have a medial plica, and it doesn't cause any problems.

What is synovial plica syndrome?

Synovial plica syndrome (SPS) occurs in the knee, when an otherwise normal structure becomes a source of pain due to injury or overuse. Patients may present to general practitioners, physiotherapists, or surgeons with anterior knee pain with or without mechanical symptoms, and the diagnosis can sometimes be difficult.

What is the ICD 10 code for right knee pain?

M25. 561 Pain in right knee - ICD-10-CM Diagnosis Codes.

What is the meaning of plica?

Definition of plica : a fold or folded part especially : a groove or fold of skin.

What is a prominent medial plica?

The medial plica of the knee is a thin, well-vascularized intraarticular fold of the joint lining, or synovial tissue, over the medial aspect of the knee (Fig. 1). It is present in everyone, but is more prominent in some people.

What is the difference between a meniscal lesion and a knee plica?

Meniscus pathology: Meniscus pathology will have tenderness at the joint line, whereas plica pain tends to localize above the joint line. Also, physical exam tests such as Apley, Thessaly, bounce home, and/or McMurray can help distinguish the 2 entities.

What is Infrapatellar plica?

It is a thin, pliable fold of synovial tissue with elastic and areolar components. The infrapatel- lar plica may be a complete septum or may be partially attached to the anterior cruciate liga- ment. The infrapatellar plica may be split, fenes- trated, or absent [2, 3].

What is a plica in the elbow?

One of the most common causes of a “Snapping Elbow” is a Plica. A Plica is an inflamed and therefore enlarged portion of the elbow's joint lining that catches in between the bones of the elbow during motion. A Plica can be caused by anything that inflames the elbow, either a traumatic injury or overuse.

What is the ICD-10 code for right leg Pain?

ICD-10 code M79. 604 for Pain in right leg is a medical classification as listed by WHO under the range - Soft tissue disorders .

What is the ICD-10 code for knee injury?

Superficial injury of knee and lower leg ICD-10-CM S80. 912A is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):

What is the ICD-10 code for Pain in both knees?

Bilateral primary osteoarthritis of knee M17. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M17. 0 became effective on October 1, 2021.

Coding Notes for M67.5 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.

ICD-10-CM Alphabetical Index References for 'M67.5 - Plica syndrome'

The ICD-10-CM Alphabetical Index links the below-listed medical terms to the ICD code M67.5. Click on any term below to browse the alphabetical index.

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