ICD 10 Code for Knee Pain and guidelines:
ICD 10 Code for Knee Pain | ICD 10 Code for Knee Pain – Description |
M25.561 | ICD 10 code for Right knee pain |
M25.562 | ICD 10 code for Left knee pain |
M25.569 | ICD 10 code for Unspecified knee pain |
Pain in unspecified knee. M25.569 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 M25.569 became effective on October 1, 2020.
2018/2019 ICD-10-CM Diagnosis Code M25.559. Pain in unspecified hip. M25.559 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
acute and chronic pain, not elsewhere classified ( G89.-) abdomen pain ( R10.-) spine pain ( M54.-) Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
Knee is one of the biggest joint in body which joints thigh bone (femur) and lower leg joint (tibia). The knee cap is called patella. Tendons (flexible connective tissue) and ligaments (inelastic collagen tissue) help joining these bones and make the knee joint. Knee pain can be mild, moderate or severe.
ICD-10 Code for Pain in unspecified hip- M25. 559- Codify by AAPC.
Bilateral primary osteoarthritis of hip The 2022 edition of ICD-10-CM M16. 0 became effective on October 1, 2021. This is the American ICD-10-CM version of M16. 0 - other international versions of ICD-10 M16.
ICD-10 Code for Pain in unspecified knee- M25. 569- Codify by AAPC.
M25. 552 Pain in left hip - ICD-10-CM Diagnosis Codes.
M25.551 - Pain in right hip.
M25. 562 Pain in left knee - ICD-10-CM Diagnosis Codes.
M25.561 - Pain in right knee.
ICD-9 Code Transition: 719.4 Code M25. 50 is the diagnosis code used for Pain in the Unspecified Joint. It falls under the category of Diseases of the musculoskeletal system and connective tissue.
9: Dorsalgia, unspecified.
ICD-10 code G89. 29 for Other chronic pain is a medical classification as listed by WHO under the range - Diseases of the nervous system .
606.
Knee is one of the biggest joint in body which joints thigh bone (femur) and lower leg joint (tibia). The knee cap is called patella. Tendons (flexible connective tissue) and ligaments (inelastic collagen tissue) help joining these bones and make the knee joint.
Knee pain can be mild, moderate or severe. The reasons for pain can vary such as injury, overuse, infection and inflammation. Sometimes there may be swelling and redness depends on the cause. We need to visit doctor as per the severity and as per how long the pain lasts.
There may be need of radiological tests (X-ray, CT, MRI, ultrasound) or arthrocentesis (lab analysis of knee joint fluid) for further evaluation to check for infections or injury to tendon or ligament.
Knee pain is a symptom; hence follow ICD coding guideline of not coding signs and symptoms when there is a definitive diagnosis made.
Review the entire medical record thoroughly especially physical examination to determine the correct anatomical site of pain. Do not code unspecified knee pain if there is any site specification mentioned in the record.
Hoffa’s syndrome is not coded as it is mentioned as “possible”.
M25.56 is a non-billable ICD-10 code for Pain in knee. It should not be used for HIPAA-covered transactions as a more specific code is available to choose from below.
DO NOT include the decimal point when electronically filing claims as it may be rejected. Some clearinghouses may remove it for you but to avoid having a rejected claim due to an invalid ICD-10 code, do not include the decimal point when submitting claims electronically.