S83. 411 - Sprain of medial collateral ligament of right knee. ICD-10-CM.
ICD-10 Code for Sprain of medial collateral ligament of right knee- S83. 411- Codify by AAPC.
What is an MCL (medial collateral ligament) tear? An MCL tear is damage to the medial collateral ligament, which is a major ligament that's located on the inner side of your knee. The tear can be partial (some fibers in the ligament are torn) or complete (the ligament is torn into two pieces).
S83. 512A 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 S83. 512A became effective on October 1, 2021.
An MCL sprain occurs when there is a direct force applied to the outside of the knee, pushing the knee inward. MCL sprains may also occur when a person sustains an ACL (anterior cruciate ligament) tear. There are 3 grades of sprains.
Most people who tear their MCL feel pain and a "pop" in their knee when the injury happens. Their knee usually swells soon after the injury, most of the time around the inside part of the knee.
While MCL injuries are generally a result of a direct blow to the outer side of the knee that pushes the knee inwards, meniscus injuries are usually the product of direct pressure on the knee following a forced twist or rotation.
What is a grade 3 MCL tear? A grade 3 MCL tear the ligament ruptures meaning complete tearing of the fibers of the MCL. Since this is the most severe type of MCL tearing there is usually a significant amount of swelling and pain. The knee also becomes very difficult to bend.
MCL sprains are graded according to their level of severity: Grade I (minor), Grade II (moderate), Grade III (severe). A Grade I sprain will have a few fibers torn, some pain, little to no swelling, and good stability.
Tear of meniscus, current injury S83. 2-
ICD-10 Code for Other instability, left knee- M25. 362- Codify by AAPC.
ICD-10 Code for Other instability, right knee- M25. 361- Codify by AAPC.
Types of MCL injuries A grade 1 MCL injury is the least severe. It means that your ligament has been stretched but not torn. A grade 2 MCL injury means that your ligament has been partially torn. This usually causes some instability in your knee joint. A grade 3 MCL injury is the most severe type of ligament injury.
In most cases, MCL injuries do not require surgery, and they may heal on their own after some time. You must avoid putting too much pressure on the affected knee by getting plenty of rest and using crutches to support the injured leg.
While an MCL tear can be extremely painful, the good news is that the tear usually heals on its own after a few weeks of rest.
As previously noted, recovery times vary widely, but in general: A grade 1 (minor) MCL tear can take from a few days to a week and a half to heal enough for a return to normal activities, including sports. A grade 2 tear can take from two to four weeks to heal.
Sprain of medial collateral ligament of knee 1 S83.41 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. 2 The 2021 edition of ICD-10-CM S83.41 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of S83.41 - other international versions of ICD-10 S83.41 may differ.
The 2022 edition of ICD-10-CM S83.41 became effective on October 1, 2021.
Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code.
Use secondary code (s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code. Type 1 Excludes.
The 2022 edition of ICD-10-CM S83.241A became effective on October 1, 2021.
Valgus laxity with the knee in 30° of flexion as compared to normal side indicates isolated MCL tear. Laxity in full extension is indicative of a more severe injury involving multiple ligaments and potentially both cruciates.
MRI: Grade 1 = edema (increased T2 signal) superficial to intact ligament. Grade 2 = edema within the substance of the ligament with some intact fibers. Grade 3 = complete ligament disruption (high signal traversing ligament on T2 images. (Schweitzer ME, Radiology, 1995;22:411). MCL tears with displacement intraarticularly on MRI require repair. Injuries over the entire length of the MCL are associated with residual valgus laxity with brace treatment (Nakamura H, AJMS 2003;31:261). Often demonstrate bone marrow edema in the lateral femoral condyle and Lateral tibial plateau.
Prophylaxis: knee bracing decreases the risk of MCL injury, but does not affect ACL or LCL injuries (Najibi S, AJSM 2005;33:602).