ICD Code S80.01XA

ICD code S80.01XA is a medical classification used to specify a contusion, or bruise, of the right knee during the initial encounter. This code is part of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), which healthcare providers use to document diagnoses and conditions. The "S80" indicates an injury to the knee and lower leg, "01" specifies the contusion of the right knee, and "XA" denotes that this is the patient's initial encounter for this specific injury.

When using the ICD code for a contusion of the right knee during an initial encounter, healthcare providers should consider the following diagnostic criteria and symptoms:

1. Presence of Bruising: Visible discoloration on the right knee, typically presenting as a blue, purple, or black mark, indicating bleeding under the skin.

2. Swelling: Noticeable enlargement or puffiness around the right knee area, often resulting from fluid accumulation due to injury.

3. Pain: Patient reports localized pain or tenderness in the right knee, which may be exacerbated by movement or pressure.

4. Limited Range of Motion: Difficulty or discomfort when attempting to bend or straighten the right knee, potentially impacting the patient's ability to walk or bear weight.

5. History of Trauma: Documentation of a recent incident or injury that directly impacted the right knee, such as a fall, collision, or blunt force.

6. Absence of Fracture: Confirmation through physical examination or imaging (e.g., X-ray) that there is no fracture or break in the bones of the right knee.

7. Initial Encounter: This is the first visit or consultation for this specific injury, where the healthcare provider is assessing and documenting the condition for the first time.

By adhering to these criteria, healthcare providers can ensure accurate coding and documentation, facilitating effective communication and billing processes within the healthcare revenue cycle.

For the ICD code S80.01XA, which pertains to a contusion of the right knee, initial encounter, the relevant CPT codes that may be applicable for treatment include:

1. 99201-99205: Evaluation and Management (E/M) codes for new patient office or other outpatient visits, depending on the complexity and time spent.

2. 99211-99215: E/M codes for established patient office or other outpatient visits, if the patient has been seen before.

3. 29580: Application of a knee immobilizer, which may be used if immobilization is necessary.

4. 97110: Therapeutic exercises to develop strength and endurance, range of motion, and flexibility, if physical therapy is part of the treatment plan.

5. 97140: Manual therapy techniques, such as mobilization/manipulation, manual lymphatic drainage, and manual traction, if indicated.

6. 97035: Application of ultrasound therapy, which may be used to reduce pain and swelling.

7. 20610: Arthrocentesis, aspiration, and/or injection into a major joint or bursa, if fluid removal or injection is necessary.

These CPT codes are examples of procedures that might be performed in the treatment of a knee contusion, depending on the specific clinical scenario and treatment plan. Always consult with a coding specialist or refer to the latest CPT coding guidelines for the most accurate and applicable codes.

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