ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
DiagnosesAcl Tear Right Knee

Acl Tear Right Knee

ICD-10 Coding for ACL Tear Right Knee(S83.511A, S83.511D, S83.511S)

PRIMARY SPECIALTYOrthopedics
COMPLEXITYHigh
LAST UPDATED09/08/2025
Sam Tuffun, PT, DPT
Physical Therapist | Medical Coding & Billing Contributor

Diagnosis Overview

What is Acl Tear Right Knee?
Essential facts and insights about ACL Tear Right Knee

Key Clinical Considerations:

  • Presence of acute pain and swelling in the right knee
  • Positive result on the Lachman's test, Pivot-shift test, or Anterior drawer test
  • MRI confirmation of right knee ACL tear

Clinical Information

Clinical Criteria & Documentation Requirements

  • Detailed description of the patient's symptoms and physical examination findings
  • Specific mention of the right knee
  • Documentation of diagnostic imaging results confirming ACL tear

Coding Guidelines

Usage Guidelines & Examples

  • S83.511A should be used for the initial encounter
  • S83.511D is for subsequent encounters, and S83.511S is for sequela
  • This code is specific to the right knee; for left knee, use S83.512 series

Code Exclusions

Important Exclusions

  • Chronic conditions of the knee
  • Injuries to other ligaments of the knee

Related ICD-10 Codes

Primary Codes
S83.511A
Sprain of anterior cruciate ligament of right knee, initial encounter
S83.511D
Sprain of anterior cruciate ligament of right knee, subsequent encounter
S83.511S
Sprain of anterior cruciate ligament of right knee, sequela
Ancillary Codes
W01.0XXA
Differential Codes
S83.512A

Related CPT Codes

CPT codes will be available in a future update.

Specialty Focus

Primary Specialty

Orthopedics

Specialty Applications

  • ACL tear due to sports injury
  • ACL tear due to accident or trauma

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

Template 1

Patient presents with acute pain and swelling in the right knee, confirmed as an ACL tear via MRI.

Template 2

Follow-up visit for patient with right knee ACL tear, symptoms improving with treatment.

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

Can this code be used for chronic ACL tears?

No, this code is specific to acute injuries. Chronic conditions require different coding.

When should the sequela code be used?

The sequela code should be used for complications or conditions that arise as a direct result of a condition, such as an ACL tear.