ICD Code M23.611

ICD code M23.611 is other spontaneous disruption of the anterior cruciate ligament (ACL) of the right knee.

1. Patient presents with symptoms of knee instability or giving way, particularly during activities involving pivoting or sudden changes in direction.

2. Clinical examination reveals signs consistent with anterior cruciate ligament (ACL) disruption, such as a positive Lachman test or anterior drawer test.

3. No history of significant trauma or injury directly causing the ACL disruption; the onset is spontaneous or atraumatic.

4. Imaging studies (e.g., MRI) confirm disruption or abnormality of the anterior cruciate ligament in the right knee.

5. Other causes of knee instability, such as meniscal tears or collateral ligament injuries, have been ruled out or are not the primary diagnosis.

6. Symptoms may include pain, swelling, and reduced range of motion in the right knee.

7. The disruption is not classified under more specific categories such as complete rupture or avulsion.

Relevant CPT codes that may be used to treat ICD code M23.611 include:

- 29888 (Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction)

- 27407 (Repair, primary, torn ligament and/or capsule, knee; collateral ligament)

- 27409 (Repair, primary, torn ligament and/or capsule, knee; cruciate ligament)

- 29877 (Arthroscopy, knee, surgical; debridement/shaving of articular cartilage)

- 29881 (Arthroscopy, knee, surgical; with meniscectomy)

- 29882 (Arthroscopy, knee, surgical; with meniscus repair)

- 27332 (Suture of recent ligament injury; knee)

Selection of the appropriate CPT code depends on the specific procedure performed for M23.611.

Schedule a demo to see how MD Clarity’s RevFind software can automatically read your contracts and detect underpayments for CPT codes associated with ICD code M23.611. Discover how easy it is to identify missed revenue opportunities and ensure accurate reimbursement for your services.