Other articular cartilage disorders, right ankle. M24.171 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM M24.171 became effective on October 1, 2018.
Articular cartilage defects of the knee comprise of a spectrum of disease entities from single, focal defects to advanced degenerative disease of articular (hyaline) cartilage. Diagnosis generally requires an MRI to accurately assess the location of specific defects.
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 _ _.
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.
Fracture of medial condyle of femur The 2022 edition of ICD-10-CM S72. 43 became effective on October 1, 2021.
Articular cartilage defect is a common knee injury. Cartilage is frequently injured, often resulting from sports related trauma or overuse. The articular cartilage has a limiting capacity to heal itself naturally, due to the anatomy of the knee. Articular cartilage damage can worsen over time if not properly managed.
Osteochondritis dissecans, unspecified ankle and joints of foot. M93. 279 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
An osteochondral defect refers to a focal area of damage that involves both the cartilage and a piece of underlying bone. These can occur from an acute traumatic injury to the knee or an underlying disorder of the bone.
The femoral condyles are located on the end of the thigh bone, or the femur. They are covered by articular cartilage and function as a shock absorber for the knee.
Bones of the Knee Joint The femoral condyles are the two rounded prominences at the end of the femur; they are called the medial and the lateral femoral condyle, respectively. The motions of the condyles include rocking, gliding and rotating.
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.
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.
M25. 561 Pain in right knee - ICD-10-CM Diagnosis Codes.
Krych, M.D., "Full-thickness defects do not heal spontaneously and have limited ability to heal due to declining function of chondrocytes and the avascular nature of cartilage. Untreated, these lesions can progress to more-serious degenerative joint conditions."
A chondroplasty is an outpatient procedure used to repair a small area of damaged cartilage in the knee. The damaged tissue is removed, allowing healthy cartilage to grow in its place. The procedure is performed through small incisions on the sides of the knee with the aid of a small video camera called an arthroscope.
Chondral damage is graded from mild to severe, and all grades can have characteristics of osteoarthritis. Grade I - The cartilage "blisters" and becomes soft in the earliest form of damage. Grade II and III - As the condition worsens, the cartilage may become fibrillated (it has a shredded appearance).
ICD Code M24.1 is a non-billable code. To code a diagnosis of this type, you must use one of the seven child codes of M24.1 that describes the diagnosis 'other articular cartilage disorders' in more detail. M24.1 Other articular cartilage disorders. NON-BILLABLE.
Use a child code to capture more detail. ICD Code M24.1 is a non-billable code.
The ICD code M24 is used to code Dermatofibrosarcoma protuberans. Dermatofibrosarcoma protuberans (DFSP) is a very rare tumor. It is a rare neoplasm of the dermis layer of the skin, and is classified as a sarcoma. There is only about one case per million per year.
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.
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.