icd 10 code for osteochondral lesion trochlear

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What is the ICD 10 code for osteochondritis dissecans?

2021 ICD-10-CM Diagnosis Code M93.2: Osteochondritis dissecans. ICD-10-CM Codes. ›. M00-M99 Diseases of the musculoskeletal system and connective tissue. ›.

What is the ICD 10 code for chondromalacia?

ICD-10-CM Codes › M00-M99 Diseases of the musculoskeletal system and connective tissue › M91-M94 ... M94.261 Chondromalacia, right knee; M94.262 Chondromalacia, left knee; M94.269 Chondromalacia, unspecified knee; M94.27 Chondromalacia, ankle and joints of foot.

What is the ICD-9 code for chondral defect?

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.

What is the ICD 10 code for postprocedural chondropathies?

M93.2 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2022 edition of ICD-10-CM M93.2 became effective on October 1, 2021. This is the American ICD-10-CM version of M93.2 - other international versions of ICD-10 M93.2 may differ. postprocedural chondropathies ( M96.-)

What is the ICD 10 code for osteochondral lesion?

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.

What is a Trochlear chondral defect?

A chondral defect refers to a specific, localized area of damage to the articular cartilage that lines the ends of the bones (like a tile missing in the floor). Articular cartilage is the coating of the bones and allows for smooth motion between the ends of the bones.

What is osteochondral lesion of the knee?

Osteochondral lesions or osteochondritis dessicans can occur in any joint, but are most common in the knee and ankle. Such lesions are a tear or fracture in the cartilage covering one of the bones in a joint. The cartilage can be torn, crushed or damaged and, in rare cases, a cyst can form in the cartilage.

Is osteochondral defect the same as osteochondritis dissecans?

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.

What is a chondral lesion?

Chondral lesions are caused through degradation of joint cartilage, in response to metabolic, genetic, vascular and traumatic stimuli. They can occur because of a single episode of overload on the knee joint, or through several cyclical episodes of small magnitude.

What is the femoral trochlea?

Description. The trochlea of femur (femoral trochlea) is the cranial cartilaginous part of distal femur, for articulation with the patella fo form the femoral patellar joint. It consists of a groove bounded by the medial and a lateral ridges.

What is osteochondral lesion of the medial talar dome?

A talar dome lesion is an injury to the cartilage and underlying bone of the talus within the ankle joint. It is also called an osteochondral defect (OCD) or osteochondral lesion of the talus (OLT). “Osteo” means bone and “chondral” refers to cartilage.

What is considered a large osteochondral lesion?

Osteochondral transplantation is advocated for full-thickness chondral lesions up to 2 cm in diameter or 4 cm2 [8]. However, it is not appropriate to treat particularly larger cartilage defects. ACI has the advantage of treating these larger lesions (up to 10 cm2) by restoring hyaline-like cartilage [1], [5].

What is an osteochondral allograft?

An osteochondral allograft is a piece of tissue containing bone and cartilage that is taken from a deceased donor to replace damaged cartilage that lines the ends of bones in a joint.

What does osteochondral mean?

Medical Definition of osteochondral : relating to or composed of bone and cartilage.

What is a osteochondral lesion of the ankle?

An osteochondral lesion of the talus (OLT) is an area of abnormal, damaged cartilage and bone on the top of the talus bone (the lower bone of the ankle joint). This condition is also known as osteochondritis dissecans (OCD) of the talus or a talar osteochondral lesion (OCL).

What causes an OCD lesion?

The cause of osteochondritis dissecans is unknown. The reduced blood flow to the end of the affected bone might result from repetitive trauma — small, multiple episodes of minor, unrecognized injury that damage the bone. There might be a genetic component, making some people more inclined to develop the disorder.

What is the code for articular cartilage defect?

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.

Can chondromalacia occur simultaneously?

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.