ICD-10-CM Code Z96.653

Presence of artificial knee joint, bilateral

Version 2020 Billable Code Unacceptable Principal Diagnosis

Valid for Submission

Z96.653 is a billable code used to specify a medical diagnosis of presence of artificial knee joint, bilateral. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z96.653 might also be used to specify conditions or terms like history of arthroplasty of left knee, history of arthroplasty of left knee, history of arthroplasty of right knee, history of arthroplasty of right knee, history of bilateral knee arthroplasty, history of bilateral knee prosthetic unicompartmental arthroplasty, etc

The code Z96.653 describes a circumstance which influences the patient's health status but not a current illness or injury. The code is unacceptable as a principal diagnosis.

ICD-10:Z96.653
Short Description:Presence of artificial knee joint, bilateral
Long Description:Presence of artificial knee joint, bilateral

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10 Code Edits are applicable to this code:

  • Unacceptable principal diagnosis - There are selected codes that describe a circumstance which influences an individual’s health status but not a current illness or injury, or codes that are not specific manifestations but may be due to an underlying cause. These codes are considered unacceptable as a principal diagnosis.

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • History of arthroplasty of left knee
  • History of arthroplasty of left knee
  • History of arthroplasty of right knee
  • History of arthroplasty of right knee
  • History of bilateral knee arthroplasty
  • History of bilateral knee prosthetic unicompartmental arthroplasty
  • History of bilateral total knee replacement
  • History of left total knee replacement
  • History of prosthetic unicompartmental arthroplasty of left knee
  • History of right total knee replacement
  • History of right unicondylar knee arthroplasty
  • History of total knee arthroplasty

Diagnostic Related Groups

The ICD-10 code Z96.653 is grouped in the following groups for version MS-DRG V37.0 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 10/01/2019 through 09/30/2020.

  • 564 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC
  • 565 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC
  • 566 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC

Convert Z96.653 to ICD-9

  • V43.65 - Joint replaced knee (Approximate Flag)

Code Classification

  • Factors influencing health status and contact with health services (Z00–Z99)
    • Persons with potential health hazards related to family and personal history and certain conditions influencing health status (Z77-Z99)
      • Presence of other functional implants (Z96)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Knee Replacement

Knee replacement is surgery for people with severe knee damage. Knee replacement can relieve pain and allow you to be more active. Your doctor may recommend it if you have knee pain and medicine and other treatments are not helping you anymore.

When you have a total knee replacement, the surgeon removes damaged cartilage and bone from the surface of your knee joint and replaces them with a man-made surface of metal and plastic. In a partial knee replacement, the surgeon only replaces one part of your knee joint. The surgery can cause scarring, blood clots, and, rarely, infections. After a knee replacement, you will no longer be able to do certain activities, such as jogging and high-impact sports.


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