10-11-2017, 05:57 AM | Community Wiki

Results 1 to 2 of 2

Code knee pain for injury of knee?

  1. Default Code knee pain for injury of knee?
    Medical Coding Books
    I'm looking for guidelines or advice on the best code to pick up for a patient seen following a rollerblading incident. The provider chose "knee pain, 719.46," but I'm curious as to why he didn't choose an injury code.

    Subjective: Pt hurt his knee when he tripped and fell while rollerblading. It is very sore, but he can still walk.
    Exam: Left knee with bruise and mild swelling. Painful to palpation especially in the medial area.
    Assessment/Plan: Knee pain, 719.46 -- contusion and probable light strain vs sprain. Discussed icing and elevating. Note given to excuse from PE. Return if pain worsens or for any other concerns.

    How does one decide whether to code an injury or to code the symptoms? I realize the symptoms are not coded when a more definitive diagnosis is given, but here the provider chooses to code for pain, so I'm just confused. (I've been told by coworkers to go with what provider gives as his assessment as well as to realize they don't always give the best choice of codes, so okay to choose more appropriate ones when applicable.)

    I'm considering any/combo of these three:
    719.46: pain in joint, lower leg
    924.11: contusion of knee
    959.7: injury of knee

    Thank you!

  2. #2
    Columbia, MO
    Physicians do not always select correct codes so you code according to the note. The note specified contusion so that is what needs to be coded. The pain in knee is inherent to the contusion and is not coded. Had the provider specified the encounter was for pain control and that the pain is acute then you would use the 338 code for acute pain due to trauma in addition to the contusion. For this note however code only the contusion and the external cause code for the fall while rollerblading.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Accupuncture pain in knee due to osteoarthritis
    By lexifilly in forum Diagnosis Coding
    Replies: 4
    Last Post: 02-20-2015, 06:12 PM
  2. knee pain after replacement
    By smaher82 in forum Diagnosis Coding
    Replies: 2
    Last Post: 04-10-2014, 01:04 PM
  3. Replies: 1
    Last Post: 10-15-2013, 07:43 PM
  4. Chronic knee pain
    By nyyankees in forum Diagnosis Coding
    Replies: 2
    Last Post: 05-21-2013, 08:52 AM
  5. Articular Cartilage Injury Knee
    By joanne71178 in forum Orthopaedics
    Replies: 1
    Last Post: 04-17-2013, 05:59 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.