Wiki Osteoarthritis vs. DJD

[sorcha48]

The provider has documented on their handwritten consultation form Right Knee DJD.
The dictated report has right knee osteoarthritis.

I would code it as M17.9 (Osteoarthritis of knee, uspecified). Another coder has it as M25.861 (Other specified joint disorders, right knee)

Can someone help?

 

[amyjph]

Did you go to the ICD-10 index and follow the lookup?

When in doubt always use the index and follow the guidelines.

 

[shanamarie]

The provider has documented on their handwritten consultation form Right Knee DJD.
The dictated report has right knee osteoarthritis.

I would code it as M17.9 (Osteoarthritis of knee, uspecified). Another coder has it as M25.861 (Other specified joint disorders, right knee)

Can someone help?

I wouldn’t use an unspecified code, since you know it’s right sided. I would use M17.11. Read the tip under the m15-m19 section as to why you would use primary as the default.

 

[sorcha48]

I would typically have done a query about the difference in DJD and osteoarthritis.

 

[sorcha48]

Did you go to the ICD-10 index and follow the lookup?

When in doubt always use the index and follow the guidelines.

I did use the index but DJD and OA go to two separate dx.

 

[sls314]

I did use the index but DJD and OA go to two separate dx.

What are you looking up in the Alphabetic Index that's making you think DJD and OA go to two separate diagnoses?

Disease, Joint, Degenerative specifically directs you to "see Osteoarthritis"

 

[sls314]

An additional path in the Alphabetic Index is:

Degeneration, Degenerative > joint disease - see Osteoarthritis

 

[sls314]

If you started from the word joint, you'd also get to Osteoarthritis

Joint - see also condition
Condition - see also disease





Which would take you back to the Disease, Degenerative, Joint lookup path posted above.


Starting from any of the words Degenerative, Joint, or Disease, you'd be directed to "see Osteoarthritis."