The ICD-10-CM is a catalog of diagnosis codes used by medical professionals for medical coding and reporting in health care settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
You can find pain codes in three different places in the ICD-10-CM manual:
Total knee replacement is classified to code 81.54 and involves replacing the articular surfaces of the femoral condyles, tibial plateau, and patella. What is ICD 10 code for knee replacement? ICD-10: Z96. 651, Status (post), organ replacement, by artificial or mechanical device or prosthesis of, joint, knee-see presence of knee joint implant.
M25. 562 Pain in left knee - ICD-10-CM Diagnosis Codes.
S80. 912A - Unspecified superficial injury of left knee [initial encounter] | ICD-10-CM.
ICD-10-CM Code for Sprain of unspecified site of left knee S83. 92.
462 - Effusion, left knee.
Superficial injury of knee and lower leg ICD-10-CM S80. 912A is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
S89. 92XA - Unspecified injury of left lower leg [initial encounter]. ICD-10-CM.
M25. 561 Pain in right knee - ICD-10-CM Diagnosis Codes.
A knee strain occurs when a muscle or tendon is torn or stretched. The tendons are fibrous cords that connect muscles to bones. A knee sprain occurs when the ligaments in the knee joint stretch or tear. Ligaments connect the bones of your lower leg to the bones in your thigh together in your knee joints.
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.
M25. 461 - Effusion, right knee. ICD-10-CM.
Localized swelling, mass and lump, lower limb, bilateral R22. 43 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 R22. 43 became effective on October 1, 2021.
ICD-10-CM Code for Localized swelling, mass and lump, lower limb, bilateral R22. 43.
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.
Physician will do extremity examination to check if there is any swelling, inflammation or injury. 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.
ICD 10 Code for knee pain is found in chapter 13 of ICD-10 CM manual – diseases of musculoskeletal system and connective tissue, code range M00 – M99