ICD-10 Coding for Meniscectomy(S83.20)
Complete ICD-10-CM coding and documentation guide for Meniscectomy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Meniscectomy
S83.2Primary Range
Tear of meniscus, current injury
This range includes codes for current meniscal tears, which are the primary conditions treated with meniscectomy.
Key Information: ICD-10 code for meniscectomy
Essential facts and insights about Meniscectomy
Primary ICD-10-CM Code for meniscectomy
Decision Criteria
clinical Criteria
- MRI and physical exam confirm current meniscal tear.
Applicable To
- Unspecified meniscal tear
Excludes
- Old tear of meniscus (M23.2-)
Clinical Validation Requirements
- MRI confirmation of meniscal tear
- Physical exam findings such as joint line tenderness
Code-Specific Risks
- Lack of specificity may lead to denials.
Coding Notes
- Ensure documentation specifies if the tear is medial or lateral when possible.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Derangement of meniscus due to old tear or injury
M23.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Meniscectomy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code S83.20.
Impact
Clinical: May lead to incorrect treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Always document the side of the body involved., Use anatomical modifiers appropriately.
Impact
Reimbursement: Incorrect billing may result in claim denials., Compliance: Violates coding guidelines for bundled procedures., Data Quality: Leads to inaccurate procedure reporting.
Mitigation Strategy
Do not report 29877 with 29880/29881 as chondroplasty is included.
Impact
Improper billing of chondroplasty with meniscectomy codes.
Mitigation Strategy
Ensure documentation supports the inclusion of chondroplasty in the same compartment.
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 Meniscectomy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Meniscectomy
Use these documentation templates to ensure complete and accurate documentation for Meniscectomy. These templates include all required elements for proper coding and billing.
Arthroscopic Meniscectomy with Chondroplasty
Specialty: Orthopedic SurgeryRequired Elements
- Approach and portals used
- Specific meniscus and tear type
- Chondroplasty details and compartment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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