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What is the ICD-10 Code for Medial Meniscus Tear in the Left Knee?

Published in ICD-10 Coding 3 mins read

The ICD-10 code for a medial meniscus tear in the left knee, specifically for an other tear due to a current injury during an initial encounter, is S83.242A.

Understanding ICD-10 Codes for Knee Injuries

ICD-10, or the International Classification of Diseases, Tenth Revision, is a globally recognized system for classifying diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases. Developed by the World Health Organization (WHO), these codes are essential for healthcare providers for various purposes, including:

  • Billing and Reimbursement: Ensuring accurate payment for medical services.
  • Statistical Analysis: Tracking disease prevalence, health trends, and outcomes.
  • Patient Care: Facilitating clear communication among healthcare professionals.
  • Research: Supporting medical studies and public health initiatives.

Decoding S83.242A

The alphanumeric structure of ICD-10 codes provides specific details about the diagnosis. Let's break down S83.242A:

Code Segment Description Explanation
S83 Injury of knee This category broadly covers various injuries to the knee joint.
S83.2 Tear of meniscus, current injury This subcategory specifies a tear of the meniscus, indicating that it is a current, acute injury rather than a chronic or old tear.
S83.24 Other tear of medial meniscus, current injury This further refines the location to the medial meniscus and specifies that the type of tear is categorized as "other" (meaning it is not specifically a bucket-handle, longitudinal, or transverse tear, etc., but falls under a general "other tear" classification for the medial meniscus).
S83.242 Other tear of medial meniscus, current injury, left knee This digit specifies the laterality, indicating that the injury is to the left knee.
S83.242A Initial encounter for other tear of medial meniscus, current injury, left knee The final character 'A' signifies an initial encounter. This means the patient is receiving active treatment for the injury. Other common characters include 'D' for subsequent encounter (healing phase) or 'S' for sequela (complications or conditions arising directly from a previous injury, after the acute phase).

This detailed classification, as listed by the WHO, falls under the broader range of medical classifications for "Injury, poisoning and certain other consequences of external causes."

Importance of Specificity

The level of detail in ICD-10 codes like S83.242A is crucial. For a medial meniscus tear in the left knee, factors such as whether it's an "other tear," a "bucket-handle tear," or a "longitudinal tear" will result in different codes. Similarly, whether it's the first time the patient is being seen for this injury (initial encounter) or if they are in a follow-up visit (subsequent encounter) also changes the final character of the code. This precision ensures that medical records accurately reflect the patient's condition and the stage of their treatment, leading to better-informed clinical decisions and more effective healthcare management.