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ICD-10 Guide
ICD-10 CodesChapter 13: Diseases of the musculoskeletal systemM22

M22

Non-billable

Disorder of patella

Chapter 13:Diseases of the musculoskeletal system

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 M22 is a used to indicate a diagnosis of disorder of patella.

Key Diagnostic Point:

The M22 category in ICD-10 pertains to disorders of the patella, which is a small bone located in front of the knee joint. This category encompasses a variety of conditions affecting the patella, including patellar dislocations, malalignment, and chondromalacia patellae. These disorders can lead to pain, instability, and functional limitations in patients, particularly among athletes and individuals engaged in physical activities. Understanding the nuances of these conditions is crucial for accurate diagnosis and treatment planning, as they can significantly impact a patient's mobility and quality of life.

  • Clinically, disorders of the patella are often associated with overuse injuries, trauma, or developmental issues. Proper identification and coding of these conditions are essential for effective management and reimbursement. The M22 codes should be used in conjunction with detailed clinical documentation to support the diagnosis and treatment provided. This ensures that healthcare providers can effectively communicate the patient's condition and the rationale for the chosen treatment plan, facilitating better outcomes and adherence to clinical guidelines.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in presentation
  • Need for imaging studies
  • Potential for surgical intervention

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to specify the type of disorder
  • Misuse of related codes

Specialty Focus

Medical Specialties

Orthopedic Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Sports Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical impact of the M22 category is significant, as disorders of the patella can lead to chronic pain and functional impairment, affecting a patient's ability to perform daily activities. Addressing these conditions through appropriate coding and treatment can improve patient outcomes and enhance quality of life. Furthermore, understanding the prevalence and management of patellar disorders can inform population health strategies and preventive measures in at-risk groups, such as athletes.
From an administrative perspective, accurate coding of M22 disorders is crucial for healthcare providers to receive appropriate reimbursement and maintain compliance with regulatory standards. As healthcare trends evolve, focusing on the management of musculoskeletal disorders, including those affecting the patella, will be vital in improving care delivery and reducing overall healthcare costs.

ICD-9 vs ICD-10

The clinical impact of the M22 category is significant, as disorders of the patella can lead to chronic pain and functional impairment, affecting a patient's ability to perform daily activities. Addressing these conditions through appropriate coding and treatment can improve patient outcomes and enhance quality of life. Furthermore, understanding the prevalence and management of patellar disorders can inform population health strategies and preventive measures in at-risk groups, such as athletes. From an administrative perspective, accurate coding of M22 disorders is crucial for healthcare providers to receive appropriate reimbursement and maintain compliance with regulatory standards. As healthcare trends evolve, focusing on the management of musculoskeletal disorders, including those affecting the patella, will be vital in improving care delivery and reducing overall healthcare costs.

Reimbursement & Billing Impact

reimbursement and maintain compliance with regulatory standards. As healthcare trends evolve, focusing on the management of musculoskeletal disorders, including those affecting the patella, will be vital in improving care delivery and reducing overall healthcare costs.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for M22

Coding & Billing References

  • •
    Official ICD-10 Guidelines for M22

Frequently Asked Questions

What conditions are included in M22?

Conditions included in M22 are primarily related to patellar dislocation, patellar malalignment, and chondromalacia patellae, among other disorders affecting the patella.

When should I use M22 codes?

M22 codes should be used when diagnosing and documenting specific disorders of the patella, particularly when there is a clear clinical indication of instability, pain, or dysfunction related to the patellar region.

What documentation is required for M22?

Documentation must include a detailed description of the patient's symptoms, clinical findings, any imaging results, and the specific type of patellar disorder diagnosed to support the use of M22 codes.