Knee pain
Knee Pain Diagnosis Chart
There are three ways to approach knee pain diagnosis:
You can find pain codes in three different places in the ICD-10-CM manual:
ICD-9 code 719.49 for Pain in joint involving multiple sites is a medical classification as listed by WHO under the range -ARTHROPATHIES AND RELATED DISORDERS (710-719).
M25. 569 - Pain in unspecified knee. ICD-10-CM.
There is no bilateral code for knee pain in ICD-10-CM; therefore, two codes are necessary to indicate both knees are affected. The fact that the knee pain is chronic is not addressed in the codes for knee pain. Codes in category G89 in ICD-10-CM are for Pain, not elsewhere classified, including acute and chronic pain.
561 - Pain in right knee.
ICD-Code M25. 50 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Pain in Unspecified Joint.
Superficial injury of knee and lower leg ICD-10-CM S80. 911A is grouped within Diagnostic Related Group(s) (MS-DRG v39.0):
Bilateral knee pain is the name for pain in both of a person's knees. Bilateral knee pain is usually the result of arthritis. Different forms of arthritis, including osteoarthritis and gout, can cause this issue. Swelling, joint stiffness, and mobility issues can all present alongside bilateral knee pain.
The CPT code 20611 is for an arthrocentesis, aspiration and/or injection, major joint or bursa (e.g., shoulder, hip, knee or subacromial bursa with ultrasound guidance, with permanent recording and reporting). The code is billed twice because this was a bilateral procedure.
M25.561 is a valid billable ICD-10 diagnosis code for Pain in right knee . It is found in the 2021 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 .
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.