Patellofemoral disorders, left knee. 2016 2017 2018 2019 2020 2021 Billable/Specific Code. M22.2X2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM M22.2X2 became effective on October 1, 2020.
Wondering what people are using for "chondral defect" , i.e. femoral, trochlear, humeral head, etc. Cartilage derangement code. For ICD-9, we were using 733.92. So I would do the chondromalacia, but not patellae... Thank you.
Chondral defect; Defect of articular cartilage; Disorder of articular cartilage; Disorder of meniscus; ICD-10-CM M24.10 is grouped within Diagnostic Related Group(s) (MS-DRG v 38.0): 564 Other musculoskeletal system and connective tissue diagnoses with mcc; 565 Other musculoskeletal system and connective tissue diagnoses with cc
A patellar cartilage or chondral defect occurs when the articular cartilage that lines the patella become damaged. The damaged cartilage prevents the knee bones from sliding together smoothly.
A chondral defect refers to a focal area of damage to the articular cartilage (the cartilage that lines the end of the bones).
Chondral damage is graded from mild to severe, and all grades can have characteristics of osteoarthritis. Grade I - The cartilage "blisters" and becomes soft in the earliest form of damage. Grade II and III - As the condition worsens, the cartilage may become fibrillated (it has a shredded appearance).
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.
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).
Cartilage loss caused by a direct injury can result from blunt trauma to the joint. This can be from a severe car accident or even a very bad fall where the joint makes direct impact with the ground. If you're an athlete, sporting injuries are also a cause of cartilage loss.
Chondral Knee Injuries Grading Scale Grade II: This stage will present a partial-thickness defect with fibrillation (shredded appearance) or fissures (depressions) on the surface that do not reach the bone or exceed 1.5 cm in diameter.
Cartilage is a firm, slippery tissue that enables nearly frictionless joint motion. Eventually, if the cartilage wears down completely, bone will rub on bone. Osteoarthritis has often been referred to as a wear and tear disease. But besides the breakdown of cartilage, osteoarthritis affects the entire joint.
Inflammation, breakdown, and eventual loss of cartilage in the joints is known as osteoarthritis.
Other articular cartilage disorders, unspecified site The 2022 edition of ICD-10-CM M24. 10 became effective on October 1, 2021.
Osteochondritis dissecans, right knee M93. 261 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 M93. 261 became effective on October 1, 2021.
An osteochondral defect, also commonly known as osteochondritis dissecans, of the knee refers to a damage or injury to the smooth articular cartilage surrounding the knee joint and the bone underneath the cartilage.
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.