ICD-10 Guide

Right Tka

ICD-10 Coding for Right Total Knee Arthroplasty(M17.11, Z96.651)

PRIMARY SPECIALTYOrthopedic Surgery

COMPLEXITYHigh

LAST UPDATED09/15/2025

Sam Tuffun, PT, DPT

Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Right Tka?

Essential facts and insights about Right Total Knee Arthroplasty

Key Clinical Considerations:

Severe knee pain and dysfunction
Radiographic evidence of osteoarthritis or joint degeneration
Limited range of motion and swelling in the knee

Clinical Information

Clinical Criteria & Documentation Requirements

Patient history and physical examination findings
Imaging studies (X-rays, MRI) results
Surgical consent and operative report

Coding Guidelines

Usage Guidelines & Examples

Follow guidelines for coding TKA procedures accurately.
Common errors include incorrect laterality and missing documentation.

Code Exclusions

Important Exclusions

Acute knee injuries, infections, and other joint diseases
Alternative codes for left knee procedures

Specialty Focus

Primary Specialty

Orthopedic Surgery

Specialty Applications

Adults with knee osteoarthritis or trauma
Outpatient and inpatient surgical settings

Coding Complexity

High Complexity

This diagnosis requires careful attention to:

Comprehensive clinical documentation
Accurate code selection based on clinical criteria
Proper exclusion considerations
Specialty-specific coding guidelines

Documentation

Documentation Templates

Billing Information

Billing Considerations

Ensure proper documentation for billing
Verify code specificity requirements
Check for any additional codes needed
Review payer-specific guidelines

Common Issues

Insufficient clinical documentation
Incorrect code selection
Missing supporting diagnoses
Timing and frequency documentation

Frequently Asked Questions

What are the documentation requirements?

Complete patient history, physical exam, imaging results, and surgical notes.

What are the billing considerations?

Ensure accurate coding of diagnosis and procedure, and verify insurance coverage for TKA.

Right Tka

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

What are the documentation requirements?

What are the billing considerations?

Right Tka

Diagnosis Overview

Key Clinical Considerations:

Clinical Information

Clinical Criteria & Documentation Requirements

Coding Guidelines

Usage Guidelines & Examples

Code Exclusions

Important Exclusions

Related ICD-10 Codes

Related CPT Codes

Specialty Focus

Primary Specialty

Specialty Applications

Coding Complexity

Documentation

Documentation Templates

Billing Information

Billing Considerations

Common Issues

Frequently Asked Questions

What are the documentation requirements?

What are the billing considerations?