Recurrent subluxation of patella, left knee
ICD-10 M22.12 is a billable code used to indicate a diagnosis of recurrent subluxation of patella, left knee.
Recurrent subluxation of the patella, particularly in the left knee, is a condition characterized by the intermittent displacement of the patella from its normal position in the femoral groove. This condition often arises due to underlying structural abnormalities, such as malalignment of the lower extremity, ligamentous laxity, or muscular imbalances. Patients typically present with symptoms including knee pain, a sensation of instability, and episodes of the patella slipping out of place, which may be accompanied by swelling and difficulty in weight-bearing activities. The recurrent nature of this condition can lead to chronic pain and functional impairment, necessitating a thorough evaluation to rule out associated internal derangements such as meniscal tears or ligament injuries. Treatment options may include conservative management with physical therapy, bracing, or surgical interventions such as arthroscopy to address any underlying issues and stabilize the patella. Accurate coding is essential for appropriate management and reimbursement.
Detailed history of knee instability, physical examination findings, imaging results, and treatment plans.
Patients presenting with knee pain and instability, athletes with recurrent knee injuries, and post-operative evaluations.
Ensure that all relevant imaging studies are documented, and any surgical interventions are clearly described.
Assessment of functional limitations, treatment goals, and progress notes.
Rehabilitation following patellar stabilization procedures or conservative management of recurrent subluxation.
Document specific therapeutic exercises and patient responses to treatment.
Used when performing a diagnostic arthroscopy to evaluate recurrent subluxation.
Document the reason for the procedure, findings, and any interventions performed.
Orthopedic surgeons should ensure that the surgical report clearly outlines the diagnosis and rationale for the procedure.
Used when surgical intervention is required for recurrent subluxation due to severe underlying pathology.
Detail the indications for surgery and pre-operative assessments.
Ensure that all pre-operative imaging and assessments are documented.
Subluxation refers to a partial displacement of the patella, while dislocation is a complete displacement. Accurate documentation is crucial for coding.
Use M22.12 when documenting recurrent subluxation of the left patella, ensuring that the patient's history and clinical findings support the diagnosis.