what is the icd 10 code for grade 4 chondrosis medial femoral condyle

Full Answer

What is the ICD 10 code for right hip chondromalacia?

Chondromalacia, right hip. M94.251 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM M94.251 became effective on October 1, 2019. This is the American ICD-10-CM version of M94.251 - other international versions of ICD-10 M94.251 may differ.

What is chondrosis of the hip?

The hips are a weight-bearing ball and socket joint with cartilage that lines the inner surface to enable smooth and easy movement. 4  If this cartilage starts to wear away, friction between the bones leads to bone spurs. Chondrosis in the hip joint can make it difficult to walk, causing stiffness and pain.

What is the treatment for osteonecrosis of the medial femoral condyle?

Osteonecrosis, or bone death, of the medial femoral condyle is treated either through nonsurgical or surgical methods, the Hospital for Special Surgery explains. Nonsurgical treatment is used if the disease is only within the first or second stages.

What is patellofemoral chondrosis?

Runners and individuals with extra body weight are prone to wear and tear of the knees. A condition called patellofemoral (PF) chondrosis describes cartilage loss on the surface of the kneecap. 2  Another term for the condition is chondromalacia, and its severity is graded on a scale from one to four.

What is the ICD-10 code for Chondrosis?

Chondrolysis, unspecified hip M94. 359 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 M94. 359 became effective on October 1, 2021.

What is the ICD-10 code for medial femoral condyle?

Fracture of medial condyle of femur The 2022 edition of ICD-10-CM S72. 43 became effective on October 1, 2021.

What is Grade 4 patellar chondromalacia?

Grade 4 – Grade 4 chondromalacia indicates that there is complete loss of cartilage with exposed subchondral bone. Grade 4 changes can be focal (involve a small area of cartilage), or it can be diffuse where it affects a large surface area.

What is the treatment for Grade 4 chondromalacia?

Regular non-weight-bearing exercises, such as cycling, rowing or swimming. Cartilage and bone nutrients like glucosamine, chondroitin, calcium and vitamin K twice per day. Tylenol and/or anti-inflammatory medication (i.e. Diclofenac/Voltaren or Ibuprofen/Motrin). Walking and standing on softer surfaces.

What is medial femoral condyle?

There are two femoral condyles. The medial femoral condyle is located on the inside part of the knee whereas the lateral femoral condyle, which is bigger, is located on the outside part of the knee.

What is the medial condyle?

Medical Definition of medial condyle : a condyle on the inner side of the lower extremity of the femur also : a corresponding eminence on the upper part of the tibia that articulates with the medial condyle of the femur — compare lateral condyle.

What is a grade 4 chondral defect?

Grade IV - The cartilage may wear away completely, leaving the underlying bone exposed in small or widespread areas. When the involved areas are large, pain usually becomes more severe, causing a limitation in activity.

Is Chondrosis the same as chondromalacia?

A condition called patellofemoral (PF) chondrosis describes cartilage loss on the surface of the kneecap. 2 Another term for the condition is chondromalacia, and its severity is graded on a scale from one to four.

What is medial compartment Chondrosis?

This condition represents a breakdown of the weight bearing (articular) cartilage of your knee. Cartilage cracks lead to deep fissures. The outer cartilage “skin” is lost and leads to progressive erosion of the deeper cartilage layers. This condition is pre-arthritic in most patients.

What is Chondrosis of the knee?

Chondrosis is the cartilage breakdown of the soft connective tissues in your joints. It happens due to excessive use, damage, and age factor. Commonly regarded as osteoarthritis, it usually attacks knees, hands, hips, neck, and lower backbone.

What causes chondromalacia of the medial femoral condyle?

Chondromalacia is usually associated with injury, overuse of the knee, and poorly aligned muscles and bones around the knee joint. Common causes include: Trauma to the kneecap, such as a fracture or dislocation. Repeated bending or twisting of the knee joint, especially during sports.

What is Grade 3 chondromalacia medial femoral condyle?

Grading System for Chondromalacia Patella Grade 3 shows the thinning of the cartilage along with the active deterioration of the tissue. Grade 4 is the most severe and indicates full degradation of the cartilaginous surface exposing bone on bone rubbing.

Diagnosis

Your diagnosis is full-thickness (Grade IV) cartilage loss of the inner (medial) weight-bearing compartment.

Injury or Condition

Cartilage cracking, fragmentation and erosion over time has resulted in full-thickness loss of your weight-bearing (articular) cartilage, often altering the alignment of your lower extremity towards bowing (bow-legged). This condition is osteoarthritic in nature.

Cause

The most common cause is abnormal “wear and tear” of the weight-bearing (articular) cartilage layer within the medial (inner) weight-bearing compartment exposing bare bone. This may have evolved from an unrecognized, high-impact injury, excessive weight or prolonged weight-bearing on hard surfaces.

Symptoms

The typical symptom is increased pain related to weight-bearing activities which is relieved by rest. The pain is often consistently located along the medial (inner) aspect of the knee. Swelling and weakness are commonly present. A loss of knee motion (straightening or bending), and limping are often present.

Recovery

Total recovery is rare. Treatment is designed to relieve pain, improve knee function and delay the requirement of knee replacement surgery. In cases treated by arthroscopic surgery alone, recovery is gradual, over 2-6 months.

What is the risk of chondrosis of the knee?

Who Is at Risk? Chondrosis of the knee is often associated with certain types of exercise or obesity. Every pound of weight on the upper body places four pounds of force on the knee joint. 2 . Endurance athletes who run long distances are prone to joint pain.

What is the term for the breakdown of cartilage between the joints?

Surgery. Chondrosis means "cartilage breakdown"—deterioration of the cushiony connective tissue between joints due to factors such as overuse, injury, and age, Known more commonly as osteoarthritis, chondrosis most often occurs in the knees, hands, hips, neck, and lower back, causing pain and stiffness.

Is chondrosis a surgical or non-surgical treatment?

Non-Surgical Treatment Options. When chondrosis is diagnosed in the early stages before the progression of severe osteoarthritis, it's possible to manage the symptoms with non-invasive treatment options.

Where is the medial femoral condyle?

By Staff Writer Last Updated March 25, 2020. Follow Us: According to the Hospital for Special Surgery, the medial femoral condyle is the inside of the knee, and health issues dealing with it can be treated.

How is osteonecrosis of the medial femoral condyle treated?

Osteonecrosis, or bone death, of the medial femoral condyle is treated either through nonsurgical or surgical methods, the Hospital for Special Surgery explains.

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.