ICD Code M17.0

ICD code M17.0 is used to identify bilateral primary osteoarthritis of the knee, which refers to a degenerative joint disease affecting both knees. This condition is characterized by the breakdown of cartilage in the knee joints, leading to pain, stiffness, and reduced mobility. It is considered "primary" because it develops without a known cause, as opposed to secondary osteoarthritis, which results from another condition or injury. This code is crucial for healthcare providers to accurately document and bill for the diagnosis and treatment of this specific condition.

1. Bilateral Knee Pain: Persistent pain in both knees that may worsen with activity and improve with rest.

2. Stiffness: Notable stiffness in both knees, particularly in the morning or after periods of inactivity, which typically lasts less than 30 minutes.

3. Swelling: Observable swelling or inflammation in both knees, often accompanied by warmth or tenderness.

4. Reduced Range of Motion: Difficulty in fully bending or straightening both knees, leading to a noticeable reduction in mobility.

5. Crepitus: Audible or palpable grinding or cracking sensation in both knees during movement.

6. Joint Deformity: Visible changes in the shape or alignment of both knees, potentially leading to a bow-legged or knock-kneed appearance.

7. Radiographic Evidence: X-ray or other imaging studies showing characteristic changes such as joint space narrowing, osteophyte formation, or subchondral sclerosis in both knees.

8. Age Factor: Typically occurs in individuals over the age of 50, although it can present earlier depending on other risk factors.

9. Absence of Secondary Causes: No evidence of other underlying conditions or injuries that could account for the symptoms, such as rheumatoid arthritis, trauma, or infection.

10. Functional Impairment: Noticeable impact on daily activities, such as walking, climbing stairs, or standing for extended periods, due to knee discomfort or instability.

For the ICD code M17.0, which pertains to bilateral primary osteoarthritis of the knee, the relevant CPT codes that may be applicable include:

1. 20610 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., knee joint, subacromial bursa), without ultrasound guidance.

2. 20611 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa (e.g., knee joint, subacromial bursa), with ultrasound guidance.

3. 27447 - Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty).

4. 29881 - Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving).

5. 29888 - Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction.

6. J7321 - Hyaluronan or derivative, Hyalgan or Supartz, for intra-articular injection, per dose.

These CPT codes are commonly associated with the treatment of bilateral primary osteoarthritis of the knee, as indicated by ICD code M17.0. It's important for healthcare providers to verify the specific procedures and services rendered to ensure accurate coding and billing.

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