ICD-10 Coding for Bilateral Knee DJD(M17.0)
Complete ICD-10-CM coding and documentation guide for Bilateral Knee DJD. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bilateral Knee DJD
M15-M19Primary Range
Arthritis and osteoarthritis
This range includes all forms of arthritis, with M17.0 specifically for bilateral primary osteoarthritis of the knee.
Key Information: ICD-10 code for bilateral knee DJD
Essential facts and insights about Bilateral Knee DJD
Primary ICD-10-CM Code for bilateral knee djd
Decision Criteria
clinical Criteria
- Confirmed bilateral OA on imaging
coding Criteria
- Use M17.0 for primary OA, not secondary
documentation Criteria
- Document KL grade and chronicity
Applicable To
- Bilateral knee osteoarthritis
- Bilateral knee DJD
Clinical Validation Requirements
- X-ray showing KL grade ≥2
- Chronic knee pain >6 months
- Morning stiffness <30 minutes
Code-Specific Risks
- Incorrectly coding for knee pain without OA confirmation
Coding Notes
- Ensure imaging supports the diagnosis of bilateral OA.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Chronic pain, not elsewhere classified
G89.29Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bilateral Knee DJD to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M17.0.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Ensure detailed documentation of symptoms and imaging., Use specific ICD codes based on confirmed diagnosis.
Impact
Reimbursement: Incorrect coding can lead to denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Only use M17.0 if imaging confirms structural damage.
Impact
Using bilateral codes without proper documentation.
Mitigation Strategy
Ensure imaging and clinical notes support bilateral diagnosis.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Bilateral Knee DJD, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bilateral Knee DJD
Use these documentation templates to ensure complete and accurate documentation for Bilateral Knee DJD. These templates include all required elements for proper coding and billing.
Orthopedic Progress Note
Specialty: OrthopedicsRequired Elements
- Subjective: Pain history and severity
- Objective: Imaging results and physical exam
- Assessment: Diagnosis with ICD code
- Plan: Treatment plan and follow-up
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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