Sprain of anterior cruciate ligament of left knee, initial encounter. S83.512A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM S83.512A became effective on October 1, 2018.
6. CPT codes 29874 (Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation) and 29877 (Arthroscopy, knee, surgical; for debridement/shaving of articular cartilage (chondroplasty)) shall not be reported with other knee arthroscopy codes (29866-29889).
Treatment of anterior cruciate ligament (ACL) injury
This has led this group of authors to suggest 4 we should wait till 2-years post ACL surgery for return to sport! I suspect that two years may be overly conservative for most people, while 6-months will be too soon for the majority; in reality, recovery time will be dependent upon the individual and their progress.
You cannot bill this code separately from CPT code 29888 (ACL repair where a tendon graft is obtained from a separate incision on the same knee, which is the standard in these types of procedures). This does not constitute a far enough distance to bill for it separately, according to the CPT Assistant.
ICD-10-CM Diagnosis Code Z42 Z42.
ICD-10 code S83. 512A for Sprain of anterior cruciate ligament of left knee, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
Three types of grafts can be used with ACL surgery:Autograft. Your doctor uses a tendon from somewhere else in your body (like your other knee, hamstring, or thigh).Allograft. This type of graft uses tissue from someone else (a deceased donor).Synthetic graft. This is when artificial materials replace the tendon.
The ICD-10 code range for Injuries to the knee and lower leg S80-S89 is medical classification list by the World Health Organization (WHO).
Other spontaneous disruption of anterior cruciate ligament of right knee. M23. 611 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 M23.
CPT Code: 29888 Anterior cruciate ligament reconstruction (ACL reconstruction) is a surgical tissue graft replacement of the anterior cruciate ligament, located in the knee, to restore its function after anterior cruciate ligament injury.
The patellar tendon and hamstring autografts are the most common choices for ACL reconstruction. The patellar tendon runs from the knee cap (patella) to the lower leg bone (tibia). Surgeons have the most experience with this autograft and it is the most widely used.
ACL reconstruction is surgery to replace a torn anterior cruciate (KROO-she-ate) ligament (ACL) — a major ligament in your knee.
To repair the ACL, we perform arthroscopic surgery, which is less invasive and allows patients to recover more quickly. In an ACL reconstruction, the damaged ligament is replaced with a tissue graft from a donor (allograft) or your own body (autograft).
S80.912AS80. 912A - Unspecified superficial injury of left knee [initial encounter]. ICD-10-CM.
S89. 92XA - Unspecified injury of left lower leg [initial encounter]. ICD-10-CM.
Unspecified injury of unspecified lower leg, initial encounter. S89. 90XA 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 S89.
The patellar tendon graft (PTG) has always been the gold standard for anterior cruciate ligament (ACL) reconstruction. Yet, most orthopedic surgeons prefer hamstring grafts for younger athletes and cadaver grafts for older patients.
Three autograft options that are commonly used are BPTB, HS and bone quadriceps tendon (BQT) grafts. However, in recent decades the use of allograft is increasing. Allografts are used to reconstruct ACL primarily in 20–30% of cases in USA.
Also, ACL repair is a less invasive surgery when compared to ACL reconstruction as no (or only small) tunnels need to be drilled and no graft tissues need to be harvested, leading to lower surgical morbidity [30,31,32,33], faster return of range of motion and fewer complications [34].
When you have a typical ACL injury, the first things we look at are your joint surface, your age, your activity status, and your expectations. Typically in my practice, the strongest ACL graft out there is the patellar tendon graft or Bone Tendon Bone graft (BTB graft).
97110 – Therapeutic exercises to develop strength and endurance, range of motion, and flexibility.
27570 – Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices)
29884 – Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)
There is no specific code for open lysis of adhesions of knee. The related codes are,
27486 – Revision of total knee arthroplasty, with or without allograft; one component
The patient at one time had a traumatic ACL Tear (S83.512A) which was treated by ACL Reconstruction. Some time after the original procedure, it was found that the "Reconstruction" had failed, but the reason for this is not given.
If a patient has a failed ACL tear of the left knee and ends up having an ACL revision done.... do we use the ICD 10 code S83.512D or T84.410A or both? Any help or input would be greatly appreciated.
0MRN0KZ is a billable procedure code used to specify the performance of replacement of right knee bursa and ligament with nonautologous tissue substitute, open approach. The code is valid for the year 2021 for the submission of HIPAA-covered transactions.
A Removal procedure is coded for taking out the device used in a previous replacement procedure. The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure.
releasing yearly updates. These 2021 ICD-10-PCS codes are to be used for discharges occurring from October 1, 2020 through September 30, 2021.