2022 ICD-10-CM Code S83.211S
Bucket-handle tear of medial meniscus, current injury, right knee, sequela
Code Classification
S83.211S is a billable diagnosis code used to specify a medical diagnosis of bucket-handle tear of medial meniscus, current injury, right knee, sequela. The code S83.211S is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
S83.211S is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like bucket-handle tear of medial meniscus current injury right knee. According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.
Coding Guidelines
The appropriate 7th character is to be added to each code from block Dislocation and sprain of joints and ligaments of knee (S83). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code S83.211S is grouped in the following groups for version MS-DRG V39.0 What are 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). applicable from 10/01/2021 through 09/30/2022.
| MS-DRG | MS-DRG Title | MCD | Relative Weight |
|---|---|---|---|
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | 08 | 1.408 |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 08 | 0.8708 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Present on Admission (POA)
S83.211S is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.
CMS POA Indicator Options and Definitions
| POA Indicator Code | POA Reason for Code | CMS will pay the CC/MCC DRG? |
|---|---|---|
| Y | Diagnosis was present at time of inpatient admission. | YES |
| N | Diagnosis was not present at time of inpatient admission. | NO |
| U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
| W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
| 1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert S83.211S to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code S83.211S its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 905.7 - Late effec sprain/strain (Approximate Flag)
Information for Patients
Cartilage Disorders
Cartilage is the tough but flexible tissue that covers the ends of your bones at a joint. It also gives shape and support to other parts of your body, such as your ears, nose and windpipe. Healthy cartilage helps you move by allowing your bones to glide over each other. It also protects bones by preventing them from rubbing against each other.
Injured, inflamed, or damaged cartilage can cause symptoms such as pain and limited movement. It can also lead to joint damage and deformity. Causes of cartilage problems include
- Tears and injuries, such as sports injuries
- Genetic factors
- Other disorders, such as some types of arthritis
Osteoarthritis results from breakdown of cartilage.
NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases
[Learn More in MedlinePlus]
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
[Learn More in MedlinePlus]
Related Codes
| ICD Code | Description | Valid for Submission |
|---|---|---|
| S83 | Dislocation and sprain of joints and ligaments of knee | NON-BILLABLE CODE |
| S83.0 | Subluxation and dislocation of patella | NON-BILLABLE CODE |
| S83.00 | Unspecified subluxation and dislocation of patella | NON-BILLABLE CODE |
| S83.001 | Unspecified subluxation of right patella | NON-BILLABLE CODE |
| S83.001A | Unspecified subluxation of right patella, initial encounter | BILLABLE CODE |
| S83.001D | Unspecified subluxation of right patella, subsequent encounter | BILLABLE CODE |
| S83.001S | Unspecified subluxation of right patella, sequela | BILLABLE CODE |
| S83.002 | Unspecified subluxation of left patella | NON-BILLABLE CODE |
| S83.002A | Unspecified subluxation of left patella, initial encounter | BILLABLE CODE |
| S83.002D | Unspecified subluxation of left patella, subsequent encounter | BILLABLE CODE |
| S83.002S | Unspecified subluxation of left patella, sequela | BILLABLE CODE |
| S83.003 | Unspecified subluxation of unspecified patella | NON-BILLABLE CODE |
| S83.003A | Unspecified subluxation of unspecified patella, initial encounter | BILLABLE CODE |
| S83.003D | Unspecified subluxation of unspecified patella, subsequent encounter | BILLABLE CODE |
| S83.003S | Unspecified subluxation of unspecified patella, sequela | BILLABLE CODE |
| S83.004 | Unspecified dislocation of right patella | NON-BILLABLE CODE |
| S83.004A | Unspecified dislocation of right patella, initial encounter | BILLABLE CODE |
| S83.004D | Unspecified dislocation of right patella, subsequent encounter | BILLABLE CODE |
| S83.004S | Unspecified dislocation of right patella, sequela | BILLABLE CODE |
| S83.005 | Unspecified dislocation of left patella | NON-BILLABLE CODE |
| S83.005A | Unspecified dislocation of left patella, initial encounter | BILLABLE CODE |
| S83.005D | Unspecified dislocation of left patella, subsequent encounter | BILLABLE CODE |
| S83.005S | Unspecified dislocation of left patella, sequela | BILLABLE CODE |
| S83.006 | Unspecified dislocation of unspecified patella | NON-BILLABLE CODE |
| S83.006A | Unspecified dislocation of unspecified patella, initial encounter | BILLABLE CODE |
| S83.006D | Unspecified dislocation of unspecified patella, subsequent encounter | BILLABLE CODE |
| S83.006S | Unspecified dislocation of unspecified patella, sequela | BILLABLE CODE |
| S83.01 | Lateral subluxation and dislocation of patella | NON-BILLABLE CODE |
| S83.011 | Lateral subluxation of right patella | NON-BILLABLE CODE |
| S83.011A | Lateral subluxation of right patella, initial encounter | BILLABLE CODE |
| S83.011D | Lateral subluxation of right patella, subsequent encounter | BILLABLE CODE |
| S83.011S | Lateral subluxation of right patella, sequela | BILLABLE CODE |
| S83.012 | Lateral subluxation of left patella | NON-BILLABLE CODE |
| S83.012A | Lateral subluxation of left patella, initial encounter | BILLABLE CODE |
| S83.012D | Lateral subluxation of left patella, subsequent encounter | BILLABLE CODE |
| S83.012S | Lateral subluxation of left patella, sequela | BILLABLE CODE |
| S83.013 | Lateral subluxation of unspecified patella | NON-BILLABLE CODE |
| S83.013A | Lateral subluxation of unspecified patella, initial encounter | BILLABLE CODE |
| S83.013D | Lateral subluxation of unspecified patella, subsequent encounter | BILLABLE CODE |
| S83.013S | Lateral subluxation of unspecified patella, sequela | BILLABLE CODE |
| S83.014 | Lateral dislocation of right patella | NON-BILLABLE CODE |
| S83.014A | Lateral dislocation of right patella, initial encounter | BILLABLE CODE |
| S83.014D | Lateral dislocation of right patella, subsequent encounter | BILLABLE CODE |
| S83.014S | Lateral dislocation of right patella, sequela | BILLABLE CODE |
| S83.015 | Lateral dislocation of left patella | NON-BILLABLE CODE |
| S83.015A | Lateral dislocation of left patella, initial encounter | BILLABLE CODE |
| S83.015D | Lateral dislocation of left patella, subsequent encounter | BILLABLE CODE |
| S83.015S | Lateral dislocation of left patella, sequela | BILLABLE CODE |
| S83.016 | Lateral dislocation of unspecified patella | NON-BILLABLE CODE |
| S83.016A | Lateral dislocation of unspecified patella, initial encounter | BILLABLE CODE |
| S83.016D | Lateral dislocation of unspecified patella, subsequent encounter | BILLABLE CODE |
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)