Other articular cartilage disorders, unspecified site M24. 10 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 M24. 10 became effective on October 1, 2021.
Chondral injuries of the knee are lesions of the articular cartilage of the knee joint. (The colloquial expression “cartilage damage” might also include meniscal tears, which is an altogether separate category of disease.)
S80. 911A - Unspecified superficial injury of right knee [initial encounter] | ICD-10-CM.
The 2022 edition of ICD-10-CM S82. 01 became effective on October 1, 2021. This is the American ICD-10-CM version of S82. 01 - other international versions of ICD-10 S82.
Cartilage, or chondral, damage is known as a lesion and can range from a soft spot on the cartilage (Grade I lesion) or a small tear in the top layer to an extensive tear that extends all the way to the bone (Grade IV or "full-thickness" lesion).
: of or relating to cartilage.
ICD-10 Code for Other instability, right knee- M25. 361- Codify by AAPC.
M25. 562 Pain in left knee - ICD-10-CM Diagnosis Codes.
M25. 569 - Pain in unspecified knee. ICD-10-CM.
Osteochondritis dissecans, unspecified ankle and joints of foot. M93. 279 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
A condition called patellofemoral (PF) chondrosis describes cartilage loss on the surface of the kneecap. 2 Another term for the condition is chondromalacia, and its severity is graded on a scale from one to four.
Is OCD (Osteochondritis Dissecans) the same thing as an osteochondral Defect? Osteochondritis Dissecans (OCD) is a type of osteochondral defect. The two clinical conditions are closely related. Osteochondritis Dissecans and osteochondral defects can occur in any joint, but frequently occur in the knee joint.
Cartilage transplant or autologous cultured chondrocytes (cartilage cells) on a collagen membrane [MACI] can be used to treat focal cartilage defects. This is a two-stage cell-based procedure, because it requires an initial arthroscopic procedure to harvest the cells (small biopsy from your cartilage).
A chondral defect usually occurs following an injury such as a blow to the knee or other joints. Cartilage does not repair by itself and therefore other treatment is needed.
Arthroscopic surgery to remove damaged and inflamed tissue. Surgical stabilization of the cartilage defect may be needed. Surgical stimulation to replace lost cartilage is successful in cases where the surrounding cartilage is healthy.
Background: Focal chondral defects (FCDs) of the knee are believed to contribute to the development of osteoarthritis (OA), resulting in pain and dysfunction.
Chondral injuries are any degree of loss of the normal thickness and structure of articular hyaline cartilage. Chondral damage can occur in any joint, but most of the literature has focused on the knee, which is the focus of this chapter.
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Articular Cartilage Defect#N#For an isolated "articular cartilage defect" the most specific code would be M94.8X _: Other Specified Disorders of Cartilage (of joint). Although this code set includes the knee (lower leg: 6) and does not appear to exclude the Patella, I think that for the Patella, M22.8 _ (Other Disorders of the Patella) would be more correct. M24.8 _: Other Specified Derangement of Joint NEC seems to me to be far less specific. This is the simplest answer to the question, but this can be only a part of the joint problem. Other concerns are the presence or absence of a Cartilaginous Loose Body (s) originating from the "defect," and/or is there other articular cartilage disease of the joint, such as Chondromalacia?#N#Chondromalacia is "softening" of the articular cartilage, with varying degrees of depth and severity of involvement. It can progress to the point of producing an articular cartilage defect all the way to the bone underneath. For all joints and areas other than the Patella, M94.2 _ _ would apply to the associated Chondromalacia, if present. For Patellar Chondromalacia, if associated with an articular cartilage defect, then M22.4 _ would apply. However, the presence of Chondromalacia in any joint or area does not necessarily mean there is an articular cartilage defect, but the two can occur simultaneously/concurrently.#N#An articular cartilage defect can also be associated with &/or the source of a Cartilaginous Loose Body in the affected joint. For the knee joint, the code for an associated Loose Body would be M23.4 _; but for other joints, it would be M24.1 _ _.#N#I would be careful about "Cartilage Derangement" as regards this problem/issue. As it applies to the knee joint, "Cartilage Derangement" applies to meniscal tears, not articular cartilage disorders.#N#I hope this is more helpful than confusing.#N#Respectfully submitted, Alan Pechacek, M.D.
However, the presence of Chondromalacia in any joint or area does not necessarily mean there is an articular cartilage defect, but the two can occur simultaneously/concurrently. An articular cartilage defect can also be associated with &/or the source of a Cartilaginous Loose Body in the affected joint.