ICD-10 Focus on Common Knee and Shoulder Codes

Margaret M. Maley, BSN, MS

Much has been written about the explosion of diagnosis codes under the International Classification of Diseases, 10th Edition Clinical Modifications (ICD-10). The amplified granularity of the system and the addition of laterality coding will certainly have an impact on orthopaedics. The ICD-10 implementation delay until Oct. 1, 2015, gives orthopaedic practices an opportunity to take a focused look at the most commonly used codes in ICD-9 and map them to the corresponding codes in ICD-10.

With ICD-10, orthopaedic surgeons will be required to document the location and severity of most injuries and fractures with increased specificity. However, an overview of some common shoulder and knee diagnosis codes reveal that not all codes have expanded exponentially. Table 1 shows knee diagnoses with one-to-one mapping from ICD-9-CM (ICD-9) to ICD 10, with the addition of laterality.

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