ICD Code M25.561

ICD code M25.561 is used to identify and document the diagnosis of pain in the right knee. This code is part of the International Classification of Diseases, 10th Revision (ICD-10), which is a standardized system used by healthcare providers to classify and code all diagnoses, symptoms, and procedures. The use of this specific code helps ensure accurate billing, facilitates the tracking of healthcare statistics, and aids in the management of patient care by clearly indicating that the patient is experiencing pain specifically in the right knee.

1. Localized Pain: The patient experiences pain specifically in the right knee, without any referred pain from other areas of the body.

2. Onset and Duration: The pain may be acute or chronic, with a clear onset that can be sudden or gradual. It is important to document the duration of the pain, whether it is persistent or intermittent.

3. Pain Characteristics: The pain can be described as sharp, dull, throbbing, or aching. Understanding the nature of the pain can help in determining the appropriate use of the code.

4. Impact on Mobility: The pain affects the patient's ability to move the knee, potentially causing difficulty in walking, bending, or performing daily activities.

5. Associated Symptoms: There may be accompanying symptoms such as swelling, stiffness, redness, or warmth in the right knee.

6. Exclusion of Other Causes: The pain is not attributed to systemic conditions or injuries affecting other parts of the body, such as hip or spine issues.

7. Clinical Evaluation: A healthcare provider has conducted a thorough clinical evaluation, including physical examination and possibly imaging studies, to confirm that the pain is localized to the right knee.

8. Patient History: The patient's medical history, including any previous knee injuries or surgeries, is considered to ensure the pain is not a result of a pre-existing condition.

9. Response to Treatment: The pain may or may not respond to initial treatment efforts, such as rest, ice, compression, elevation (RICE), or medication, indicating the need for further investigation or intervention.

10. Exclusion of Infections or Tumors: The pain is not due to infections, tumors, or other serious underlying conditions that require different diagnostic codes.

For the ICD code M25.561, which indicates pain in the right knee, the relevant CPT codes that may be applicable for treatment or diagnostic procedures 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, with permanent recording and reporting.

3. 73560 - Radiologic examination, knee; one or two views.

4. 73562 - Radiologic examination, knee; three views.

5. 73564 - Radiologic examination, knee; complete, four or more views.

6. 29870 - Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure).

7. 29871 - Arthroscopy, knee, surgical; for infection, lavage, and drainage.

8. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility (each 15 minutes).

9. 97140 - Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes.

These CPT codes are commonly used for procedures related to diagnosing or treating knee pain, and the selection of the appropriate code will depend on the specific treatment or diagnostic approach taken by the healthcare provider.

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