Results 1 to 8 of 8

Osteoarthritis knee (not specified as primary, secondary, etc)

  1. #1
    Question Osteoarthritis knee (not specified as primary, secondary, etc)
    Medical Coding Books
    If our doctors just use dx: osteoarthritis and do not say anything else, or end stage osteoarthritis or degenerative arthritis is 715.96 the appropriate code?
    I am just trying to determine if you use 715.96 when you do not know if it is localized or generalized? My thinking was if my doctor is performing a steroid injection into the knee joint is it localized so I can use 715.36 because I do not know if it is primary or secondary? Does anyone have any thoughts on this? Thanks for any help in advance.
    Lynn Spille, CPC

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    I would also use the 715.36
    Mary, CPC, CANPC, COSC

  3. #3
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    I agree. 715.36.
    Lisa Bledsoe, CPC, CPMA

  4. #4
    Default
    Thank you so much for your input.
    I appreciate all the help.
    Lynn Spille, CPC

  5. #5
    Location
    Columbia, MO
    Posts
    12,527
    Default
    Quote Originally Posted by mdunn View Post
    715.36 is "localized" meaning it is found in both knees. If all you have is documentation of one knee you wouldn't have enough to support localized. If only osteoarthitis of the knee is documented you would have to code 715.96 because you don't know if that condition is in both knees. Localized means that it is bilateral sites.
    Could you please supply supporting documentation for this?

    Debra A. Mitchell, MSPH, CPC-H

  6. #6
    Location
    Columbia, MO
    Posts
    12,527
    Default
    One knee IS a single site. There is no medical literature to support your definition of localized site being bilateral. This one reason ICD-10 allows us to code left knee OR right knee OR bilateral knee.

    Debra A. Mitchell, MSPH, CPC-H

  7. #7
    Location
    Columbia, MO
    Posts
    12,527
    Default
    Please post the AHA response as I would be most interested. The verbage you quote states includes which is not that same as exclusively bilateral. The right knee is a single site.

    Debra A. Mitchell, MSPH, CPC-H

  8. #8
    Location
    Columbia, MO
    Posts
    12,527
    Default
    What my book shows as alternate terminology for 715.96 is osteoarthritis of knees, bilateral

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Osteoarthritis knee diagnosis billing
    By Kathy615 in forum Orthopaedics
    Replies: 3
    Last Post: 12-01-2015, 10:00 PM
  2. Bilateral primary osteoarthritis of knee
    By pellison in forum ICD-10
    Replies: 9
    Last Post: 11-30-2015, 09:16 AM
  3. Osteoarthritis primary, secondary and traumatic
    By Carmen Boudreau in forum Orthopaedics
    Replies: 1
    Last Post: 10-27-2015, 11:48 AM
  4. primary vs secondary osteoarthritis
    By cindy_b in forum Orthopaedics
    Replies: 2
    Last Post: 10-05-2015, 10:36 AM

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?

Login

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.