ICD Code M25.562

ICD code M25.562 is used to identify and document the diagnosis of pain specifically located in the left knee. This code is part of the International Classification of Diseases, 10th Revision (ICD-10), which is utilized by healthcare providers to ensure accurate billing, streamline communication, and facilitate the management of patient care.

When considering the use of the ICD code for pain in the left knee, healthcare providers should evaluate the following diagnostic criteria and symptoms:

1. Localized Pain: The patient reports pain specifically in the left knee, which may vary in intensity and duration.

2. Swelling: Observation or patient-reported swelling around the left knee joint.

3. Stiffness: The patient experiences stiffness in the left knee, particularly noticeable after periods of inactivity or in the morning.

4. Limited Range of Motion: The patient has difficulty fully bending or straightening the left knee.

5. Tenderness: Palpation of the left knee reveals tenderness, particularly around the joint line or specific areas.

6. Redness and Warmth: The left knee may appear red and feel warm to the touch, indicating possible inflammation.

7. Functional Impairment: The patient reports difficulty performing daily activities that involve the left knee, such as walking, climbing stairs, or standing for extended periods.

8. History of Injury or Overuse: The patient has a history of trauma, repetitive stress, or overuse that could contribute to the pain in the left knee.

9. Exclusion of Other Conditions: Other potential causes of knee pain, such as systemic diseases or referred pain from other areas, have been ruled out through clinical evaluation and diagnostic testing.

10. Radiological Findings: Imaging studies, such as X-rays or MRIs, may support the diagnosis by revealing structural abnormalities or degenerative changes in the left knee.

By systematically assessing these criteria, healthcare providers can accurately determine when to use the ICD code for pain in the left knee, ensuring precise documentation and effective treatment planning.

For the ICD code M25.562, which indicates pain in the left knee, the relevant CPT codes that may be applicable for treatment 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. 27370 - Injection of contrast for knee arthrography.

4. 29870 - Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure).

5. 29871 - Arthroscopy, knee, surgical; for infection, lavage, and drainage.

6. 29875 - Arthroscopy, knee, surgical; synovectomy, limited (e.g., plica or shelf resection) (separate procedure).

7. 97035 - Application of a modality to 1 or more areas; ultrasound, each 15 minutes.

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

These CPT codes are commonly used in the treatment and management of knee pain, depending on the specific clinical scenario and treatment plan. It is important for healthcare providers to select the appropriate CPT code based on the services rendered and the specific needs of the patient.

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