ICD-10 Coding for Dislocation of Patella(S83.0, M22.0, Q74.1)
Complete ICD-10-CM coding and documentation guide for Dislocation of Patella. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Dislocation of Patella
S83.0Primary Range
Dislocation of patella
Covers traumatic dislocations of the patella, including initial and subsequent encounters.
Recurrent dislocation of patella
Used for cases of recurrent patellar dislocation without acute trauma.
Congenital dislocation of patella
Applies to congenital cases of patellar dislocation, typically identified in pediatric patients.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| S83.0 | Dislocation of patella | For acute traumatic dislocations of the patella. |
|
| M22.0 | Recurrent dislocation of patella | For cases with a history of recurrent dislocations without new trauma. |
|
| Q74.1 | Congenital dislocation of patella | For congenital cases identified early in life. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for patellar dislocation
Essential facts and insights about Dislocation of Patella
Primary ICD-10-CM Codes for dislocation patella
Decision Criteria
clinical Criteria
- Presence of acute trauma leading to dislocation
documentation Criteria
- Imaging confirms dislocation and laterality
Applicable To
- Acute dislocation of patella
Clinical Validation Requirements
- Imaging confirmation of dislocation
- Documentation of traumatic event
Code-Specific Risks
- Confusion with recurrent dislocation codes
- Omission of laterality
Coding Notes
- Ensure laterality is specified to avoid unspecified codes.
M22.0 - Recurrent dislocation of patella
For cases with a history of recurrent dislocations without new trauma.
Applicable To
- Chronic patellar instability
Excludes
- Acute dislocation of patella (S83.0)
- Congenital dislocation of patella (Q74.1)
Clinical Validation Requirements
- History of multiple dislocations
- Documentation of patellar instability
Coding Notes
Ensure documentation supports recurrent nature.
Q74.1 - Congenital dislocation of patella
For congenital cases identified early in life.
Applicable To
- Congenital patellar dislocation
Excludes
- Acquired dislocation of patella (S83.0, M22.0)
Clinical Validation Requirements
- Diagnosis in infancy or early childhood
- Absence of trauma
Coding Notes
Ensure congenital nature is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Fall on same level from slipping, tripping and stumbling
W01.XXXADifferential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Dislocation of Patella to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S83.0.
Impact
Clinical: Leads to incomplete patient records., Regulatory: May result in coding errors and compliance issues., Financial: Can cause claim denials or reduced reimbursement.
Mitigation Strategy
Always document the affected side in clinical notes., Ensure imaging reports specify laterality.
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Misclassification affects coding accuracy and compliance., Data Quality: Impacts the quality of patient records and data analytics.
Mitigation Strategy
Verify patient history to determine if the dislocation is recurrent or acute.
Impact
Failure to specify laterality can lead to audit findings.
Mitigation Strategy
Implement checks to ensure laterality is documented in all relevant cases.
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 Dislocation of Patella, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Dislocation of Patella
Use these documentation templates to ensure complete and accurate documentation for Dislocation of Patella. These templates include all required elements for proper coding and billing.
Acute traumatic patellar dislocation
Specialty: OrthopedicsRequired Elements
- Mechanism of injury
- Imaging results
- Reduction procedure details
- Follow-up plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Dislocation of Patella? Ask your questions below.