Notification

Meniscal Allograft Transplantation


Notification Issue Date: 10/16/2018



Policy Attachment


Attachment to Policy # 11.14.03f


Attachment:A

Policy #:11.14.03f

Description:ICD-10-CM codes

Title:Meniscal Allograft Transplantation


Inclusion of a code in this table does not imply reimbursement. Eligibility, benefits, limitations, exclusions, precertification/referral requirements, provider contracts, and Company policies apply.

The codes listed below are updated on a regular basis, in accordance with nationally accepted coding guidelines. Therefore, this policy applies to any and all future applicable coding changes, revisions, or updates.

In order to ensure optimal reimbursement, all health care services, devices, and pharmaceuticals should be reported using the billing codes and modifiers that most accurately represent the services rendered, unless otherwise directed by the Company.



M22.01 Recurrent dislocation of patella, right knee

M22.02 Recurrent dislocation of patella, left knee

M22.11 Recurrent subluxation of patella, right knee

M22.12 Recurrent subluxation of patella, left knee

M23.200 Derangement of unspecified lateral meniscus due to old tear or injury, right knee

M23.201 Derangement of unspecified lateral meniscus due to old tear or injury, left knee

M23.203 Derangement of unspecified medial meniscus due to old tear or injury, right knee

M23.204 Derangement of unspecified medial meniscus due to old tear or injury, left knee

M23.206 Derangement of unspecified meniscus due to old tear or injury, right knee

M23.207 Derangement of unspecified meniscus due to old tear or injury, left knee

M23.211 Derangement of anterior horn of medial meniscus due to old tear or injury, right knee

M23.212 Derangement of anterior horn of medial meniscus due to old tear or injury, left knee

M23.221 Derangement of posterior horn of medial meniscus due to old tear or injury, right knee

M23.222 Derangement of posterior horn of medial meniscus due to old tear or injury, left knee

M23.231 Derangement of other medial meniscus due to old tear or injury, right knee

M23.232 Derangement of other medial meniscus due to old tear or injury, left knee

M23.241 Derangement of anterior horn of lateral meniscus due to old tear or injury, right knee

M23.242 Derangement of anterior horn of lateral meniscus due to old tear or injury, left knee

M23.251 Derangement of posterior horn of lateral meniscus due to old tear or injury, right knee

M23.252 Derangement of posterior horn of lateral meniscus due to old tear or injury, left knee

M23.261 Derangement of other lateral meniscus due to old tear or injury, right knee

M23.262 Derangement of other lateral meniscus due to old tear or injury, left knee

M23.300 Other meniscus derangements, unspecified lateral meniscus, right knee

M23.301 Other meniscus derangements, unspecified lateral meniscus, left knee

M23.303 Other meniscus derangements, unspecified medial meniscus, right knee

M23.304 Other meniscus derangements, unspecified medial meniscus, left knee

M23.306 Other meniscus derangements, unspecified meniscus, right knee

M23.307 Other meniscus derangements, unspecified meniscus, left knee

M23.311 Other meniscus derangements, anterior horn of medial meniscus, right knee

M23.312 Other meniscus derangements, anterior horn of medial meniscus, left knee

M23.321 Other meniscus derangements, posterior horn of medial meniscus, right knee

M23.322 Other meniscus derangements, posterior horn of medial meniscus, left knee

M23.331 Other meniscus derangements, other medial meniscus, right knee

M23.332 Other meniscus derangements, other medial meniscus, left knee

M23.341 Other meniscus derangements, anterior horn of lateral meniscus, right knee

M23.342 Other meniscus derangements, anterior horn of lateral meniscus, left knee

M23.351 Other meniscus derangements, posterior horn of lateral meniscus, right knee

M23.352 Other meniscus derangements, posterior horn of lateral meniscus, left knee

M23.361 Other meniscus derangements, other lateral meniscus, right knee

M23.362 Other meniscus derangements, other lateral meniscus, left knee

M24.461 Recurrent dislocation, right knee

M24.462 Recurrent dislocation, left knee

Q68.6 Discoid meniscus

S83.200A Bucket-handle tear of unspecified meniscus, current injury, right knee, initial encounter

S83.200D Bucket-handle tear of unspecified meniscus, current injury, right knee, subsequent encounter

S83.200S Bucket-handle tear of unspecified meniscus, current injury, right knee, sequela

S83.201A Bucket-handle tear of unspecified meniscus, current injury, left knee, initial encounter

S83.201D Bucket-handle tear of unspecified meniscus, current injury, left knee, subsequent encounter

S83.201S Bucket-handle tear of unspecified meniscus, current injury, left knee, sequela

S83.203A Other tear of unspecified meniscus, current injury, right knee, initial encounter

S83.203D Other tear of unspecified meniscus, current injury, right knee, subsequent encounter

S83.203S Other tear of unspecified meniscus, current injury, right knee, sequela

S83.204A Other tear of unspecified meniscus, current injury, left knee, initial encounter

S83.204D Other tear of unspecified meniscus, current injury, left knee, subsequent encounter

S83.204S Other tear of unspecified meniscus, current injury, left knee, sequela

S83.206A Unspecified tear of unspecified meniscus, current injury, right knee, initial encounter

S83.206D Unspecified tear of unspecified meniscus, current injury, right knee, subsequent encounter

S83.206S Unspecified tear of unspecified meniscus, current injury, right knee, sequela

S83.207A Unspecified tear of unspecified meniscus, current injury, left knee, initial encounter

S83.207D Unspecified tear of unspecified meniscus, current injury, left knee, subsequent encounter

S83.207S Unspecified tear of unspecified meniscus, current injury, left knee, sequela

S83.211A Bucket-handle tear of medial meniscus, current injury, right knee, initial encounter

S83.211D Bucket-handle tear of medial meniscus, current injury, right knee, subsequent encounter

S83.211S Bucket-handle tear of medial meniscus, current injury, right knee, sequela

S83.212A Bucket-handle tear of medial meniscus, current injury, left knee, initial encounter

S83.212D Bucket-handle tear of medial meniscus, current injury, left knee, subsequent encounter

S83.212S Bucket-handle tear of medial meniscus, current injury, left knee, sequela

S83.221A Peripheral tear of medial meniscus, current injury, right knee, initial encounter

S83.221D Peripheral tear of medial meniscus, current injury, right knee, subsequent encounter

S83.221S Peripheral tear of medial meniscus, current injury, right knee, sequela

S83.222A Peripheral tear of medial meniscus, current injury, left knee, initial encounter

S83.222D Peripheral tear of medial meniscus, current injury, left knee, subsequent encounter

S83.222S Peripheral tear of medial meniscus, current injury, left knee, sequela

S83.231A Complex tear of medial meniscus, current injury, right knee, initial encounter

S83.231D Complex tear of medial meniscus, current injury, right knee, subsequent encounter

S83.231S Complex tear of medial meniscus, current injury, right knee, sequela

S83.232A Complex tear of medial meniscus, current injury, left knee, initial encounter

S83.232D Complex tear of medial meniscus, current injury, left knee, subsequent encounter

S83.232S Complex tear of medial meniscus, current injury, left knee, sequela

S83.241A Other tear of medial meniscus, current injury, right knee, initial encounter

S83.241D Other tear of medial meniscus, current injury, right knee, subsequent encounter

S83.241S Other tear of medial meniscus, current injury, right knee, sequela

S83.242A Other tear of medial meniscus, current injury, left knee, initial encounter

S83.242D Other tear of medial meniscus, current injury, left knee, subsequent encounter

S83.242S Other tear of medial meniscus, current injury, left knee, sequela

S83.251A Bucket-handle tear of lateral meniscus, current injury, right knee, initial encounter

S83.251D Bucket-handle tear of lateral meniscus, current injury, right knee, subsequent encounter

S83.251S Bucket-handle tear of lateral meniscus, current injury, right knee, sequela

S83.252A Bucket-handle tear of lateral meniscus, current injury, left knee, initial encounter

S83.252D Bucket-handle tear of lateral meniscus, current injury, left knee, subsequent encounter

S83.252S Bucket-handle tear of lateral meniscus, current injury, left knee, sequela

S83.261A Peripheral tear of lateral meniscus, current injury, right knee, initial encounter

S83.261D Peripheral tear of lateral meniscus, current injury, right knee, subsequent encounter

S83.261S Peripheral tear of lateral meniscus, current injury, right knee, sequela

S83.262A Peripheral tear of lateral meniscus, current injury, left knee, initial encounter

S83.262D Peripheral tear of lateral meniscus, current injury, left knee, subsequent encounter

S83.262S Peripheral tear of lateral meniscus, current injury, left knee, sequela

S83.271A Complex tear of lateral meniscus, current injury, right knee, initial encounter

S83.271D Complex tear of lateral meniscus, current injury, right knee, subsequent encounter

S83.271S Complex tear of lateral meniscus, current injury, right knee, sequela

S83.272A Complex tear of lateral meniscus, current injury, left knee, initial encounter

S83.272D Complex tear of lateral meniscus, current injury, left knee, subsequent encounter

S83.272S Complex tear of lateral meniscus, current injury, left knee, sequela

S83.281A Other tear of lateral meniscus, current injury, right knee, initial encounter

S83.281D Other tear of lateral meniscus, current injury, right knee, subsequent encounter

S83.281S Other tear of lateral meniscus, current injury, right knee, sequela

S83.282A Other tear of lateral meniscus, current injury, left knee, initial encounter

S83.282D Other tear of lateral meniscus, current injury, left knee, subsequent encounter

S83.282S Other tear of lateral meniscus, current injury, left knee, sequela

S83.31xA Tear of articular cartilage of right knee, current, initial encounter

S83.31xD Tear of articular cartilage of right knee, current, subsequent encounter

S83.31xS Tear of articular cartilage of right knee, current, sequela

S83.32xA Tear of articular cartilage of left knee, current, initial encounter

S83.32xD Tear of articular cartilage of left knee, current, subsequent encounter

S83.32xS Tear of articular cartilage of left knee, current, sequela

Version Effective Date: 01/14/2019
Version Issued Date: 01/14/2019
Version Reissued Date: N/A

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