ICD-10 Code M12.869

Other specific arthropathies, not elsewhere classified, unspecified knee

Version 2019 Billable Code
ICD-10:M12.869
Short Description:Oth specific arthropathies, NEC, unsp knee
Long Description:Other specific arthropathies, not elsewhere classified, unspecified knee

Valid for Submission

ICD-10 M12.869 is a billable code used to specify a medical diagnosis of other specific arthropathies, not elsewhere classified, unspecified knee. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

Code Classification

  • Diseases of the musculoskeletal system and connective tissue (M00–M99)
    • Inflammatory polyarthropathies (M05-M14)
      • Other and unspecified arthropathy (M12)

Information for Medical Professionals

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The diagnosis code M12.869 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 553 - BONE DISEASES AND ARTHROPATHIES WITH MCC
  • 554 - BONE DISEASES AND ARTHROPATHIES WITHOUT MCC

Convert M12.869 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 716.46 - Trans arthropathy-l/leg (Approximate Flag)
  • 716.86 - Arthropathy NEC-l/leg (Approximate Flag)

Synonyms

The following clinical terms are approximate synonyms:

  • Transient arthropathy-knee

Information for Patients


Knee Injuries and Disorders

Your knee joint is made up of bone, cartilage, ligaments and fluid. Muscles and tendons help the knee joint move. When any of these structures is hurt or diseased, you have knee problems. Knee problems can cause pain and difficulty walking.

Knee problems are very common, and they occur in people of all ages. Knee problems can interfere with many things, from participation in sports to simply getting up from a chair and walking. This can have a big impact on your life.

The most common disease affecting the knee is osteoarthritis. The cartilage in the knee gradually wears away, causing pain and swelling.

Injuries to ligaments and tendons also cause knee problems. A common injury is to the anterior cruciate ligament (ACL). You usually injure your ACL by a sudden twisting motion. ACL and other knee injuries are common sports injuries.

Treatment of knee problems depends on the cause. In some cases your doctor may recommend knee replacement.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases

  • ACL reconstruction (Medical Encyclopedia)
  • Anterior crucate ligament (ACL) injury (Medical Encyclopedia)
  • Anterior cruciate ligament (ACL) injury -- aftercare (Medical Encyclopedia)
  • Anterior knee pain (Medical Encyclopedia)
  • Baker cyst (Medical Encyclopedia)
  • Broken kneecap - aftercare (Medical Encyclopedia)
  • Collateral ligament (CL) injury -- aftercare (Medical Encyclopedia)
  • Getting your home ready - knee or hip surgery (Medical Encyclopedia)
  • Knee arthroscopy (Medical Encyclopedia)
  • Knee MRI scan (Medical Encyclopedia)
  • Knee pain (Medical Encyclopedia)
  • Meniscus tears -- aftercare (Medical Encyclopedia)
  • Osgood-Schlatter disease (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.