Medical Necessity Diagnoses for Knee Braces
Group 1
The presence of an ICD-10 code listed in this section is not sufficient by itself to assure coverage. Refer to the LCD section on “Coverage Indications, Limitations, and/or Medical Necessity” for other coverage criteria and payment information.
For HCPCS codes L1831 and L1836:
Group 1 Codes| Code | Description |
|---|---|
| M24.561 | Contracture, right knee |
| M24.562 | Contracture, left knee |
For HCPCS Codes L1830, L1832, L1833, and L1834:
Group 2 Codes
| Code | Description |
|---|---|
| M05.061 | Felty's syndrome, right knee |
| M05.062 | Felty's syndrome, left knee |
| M05.261 | Rheumatoid vasculitis with rheumatoid arthritis of right knee |
| M05.262 | Rheumatoid vasculitis with rheumatoid arthritis of left knee |
| M05.361 | Rheumatoid heart disease with rheumatoid arthritis of right knee |
| M05.362 | Rheumatoid heart disease with rheumatoid arthritis of left knee |
| M05.461 | Rheumatoid myopathy with rheumatoid arthritis of right knee |
| M05.462 | Rheumatoid myopathy with rheumatoid arthritis of left knee |
| M05.561 | Rheumatoid polyneuropathy with rheumatoid arthritis of right knee |
| M05.562 | Rheumatoid polyneuropathy with rheumatoid arthritis of left knee |
| M05.661 | Rheumatoid arthritis of right knee with involvement of other organs and systems |
| M05.662 | Rheumatoid arthritis of left knee with involvement of other organs and systems |
| M05.761 | Rheumatoid arthritis with rheumatoid factor of right knee without organ or systems involvement |
| M05.762 | Rheumatoid arthritis with rheumatoid factor of left knee without organ or systems involvement |
| M05.861 | Other rheumatoid arthritis with rheumatoid factor of right knee |
| M05.862 | Other rheumatoid arthritis with rheumatoid factor of left knee |
| M06.061 | Rheumatoid arthritis without rheumatoid factor, right knee |
| M06.062 | Rheumatoid arthritis without rheumatoid factor, left knee |
| M06.1 | Adult-onset Still's disease |
| M06.261 | Rheumatoid bursitis, right knee |
| M06.262 | Rheumatoid bursitis, left knee |
| M06.361 | Rheumatoid nodule, right knee |
| M06.362 | Rheumatoid nodule, left knee |
| M06.861 | Other specified rheumatoid arthritis, right knee |
| M06.862 | Other specified rheumatoid arthritis, left knee |
| M08.061 | Unspecified juvenile rheumatoid arthritis, right knee |
| M08.062 | Unspecified juvenile rheumatoid arthritis, left knee |
| M08.261 | Juvenile rheumatoid arthritis with systemic onset, right knee |
| M08.262 | Juvenile rheumatoid arthritis with systemic onset, left knee |
| M08.3 | Juvenile rheumatoid polyarthritis (seronegative) |
| M08.461 | Pauciarticular juvenile rheumatoid arthritis, right knee |
| M08.462 | Pauciarticular juvenile rheumatoid arthritis, left knee |
| M08.861 | Other juvenile arthritis, right knee |
| M08.862 | Other juvenile arthritis, left knee |
| M08.961 | Juvenile arthritis, unspecified, right knee |
| M08.962 | Juvenile arthritis, unspecified, left knee |
| M12.061 | Chronic postrheumatic arthropathy [Jaccoud], right knee |
| M12.062 | Chronic postrheumatic arthropathy [Jaccoud], left knee |
| M17.0 | Bilateral primary osteoarthritis of knee |
| M17.11 | Unilateral primary osteoarthritis, right knee |
| M17.12 | Unilateral primary osteoarthritis, left knee |
| M17.2 | Bilateral post-traumatic osteoarthritis of knee |
| M17.31 | Unilateral post-traumatic osteoarthritis, right knee |
| M17.32 | Unilateral post-traumatic osteoarthritis, left knee |
| M17.4 | Other bilateral secondary osteoarthritis of knee |
| M17.5 | Other unilateral secondary osteoarthritis of knee |
| M17.9 | Osteoarthritis of knee, unspecified |
| M22.2X1 | Patellofemoral disorders, right knee |
| M22.2X2 | Patellofemoral disorders, left knee |
| M22.3X1 | Other derangements of patella, right knee |
| M22.3X2 | Other derangements of patella, left knee |
| M22.41 | Chondromalacia patellae, right knee |
| M22.42 | Chondromalacia patellae, left knee |
| M22.8X1 | Other disorders of patella, right knee |
| M22.8X2 | Other disorders of patella, left knee |
| M22.91 | Unspecified disorder of patella, right knee |
| M22.92 | Unspecified disorder of patella, left knee |
| M23.000 | Cystic meniscus, unspecified lateral meniscus, right knee |
| M23.001 | Cystic meniscus, unspecified lateral meniscus, left knee |
| M23.003 | Cystic meniscus, unspecified medial meniscus, right knee |
| M23.004 | Cystic meniscus, unspecified medial meniscus, left knee |
| M23.006 | Cystic meniscus, unspecified meniscus, right knee |
| M23.007 | Cystic meniscus, unspecified meniscus, left knee |
| M23.011 | Cystic meniscus, anterior horn of medial meniscus, right knee |
| M23.012 | Cystic meniscus, anterior horn of medial meniscus, left knee |
| M23.021 | Cystic meniscus, posterior horn of medial meniscus, right knee |
| M23.022 | Cystic meniscus, posterior horn of medial meniscus, left knee |
| M23.031 | Cystic meniscus, other medial meniscus, right knee |
| M23.032 | Cystic meniscus, other medial meniscus, left knee |
| M23.041 | Cystic meniscus, anterior horn of lateral meniscus, right knee |
| M23.042 | Cystic meniscus, anterior horn of lateral meniscus, left knee |
| M23.051 | Cystic meniscus, posterior horn of lateral meniscus, right knee |
| M23.052 | Cystic meniscus, posterior horn of lateral meniscus, left knee |
| M23.061 | Cystic meniscus, other lateral meniscus, right knee |
| M23.062 | Cystic meniscus, other lateral meniscus, 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 |
| M23.51 | Chronic instability of knee, right knee |
| M23.52 | Chronic instability of knee, left knee |
| M23.601 | Other spontaneous disruption of unspecified ligament of right knee |
| M23.602 | Other spontaneous disruption of unspecified ligament of left knee |
| M23.611 | Other spontaneous disruption of anterior cruciate ligament of right knee |
| M23.612 | Other spontaneous disruption of anterior cruciate ligament of left knee |
| M23.621 | Other spontaneous disruption of posterior cruciate ligament of right knee |
| M23.622 | Other spontaneous disruption of posterior cruciate ligament of left knee |
| M23.631 | Other spontaneous disruption of medial collateral ligament of right knee |
| M23.632 | Other spontaneous disruption of medial collateral ligament of left knee |
| M23.641 | Other spontaneous disruption of lateral collateral ligament of right knee |
| M23.642 | Other spontaneous disruption of lateral collateral ligament of left knee |
| M23.671 | Other spontaneous disruption of capsular ligament of right knee |
| M23.672 | Other spontaneous disruption of capsular ligament of left knee |
| M23.8X1 | Other internal derangements of right knee |
| M23.8X2 | Other internal derangements of left knee |
| M23.91 | Unspecified internal derangement of right knee |
| M23.92 | Unspecified internal derangement of left knee |
| M66.251 | Spontaneous rupture of extensor tendons, right thigh |
| M66.252 | Spontaneous rupture of extensor tendons, left thigh |
| M66.261 | Spontaneous rupture of extensor tendons, right lower leg |
| M66.262 | Spontaneous rupture of extensor tendons, left lower leg |
| M80.051A - M80.052S | Age-related osteoporosis with current pathological fracture, right femur, initial encounter for fracture - Age-related osteoporosis with current pathological fracture, left femur, sequela |
| M80.061A - M80.062S | Age-related osteoporosis with current pathological fracture, right lower leg, initial encounter for fracture - Age-related osteoporosis with current pathological fracture, left lower leg, sequela |
| M80.851A - M80.852S | Other osteoporosis with current pathological fracture, right femur, initial encounter for fracture - Other osteoporosis with current pathological fracture, left femur, sequela |
| M80.861A - M80.862S | Other osteoporosis with current pathological fracture, right lower leg, initial encounter for fracture - Other osteoporosis with current pathological fracture, left lower leg, sequela |
| M84.351A - M84.352S | Stress fracture, right femur, initial encounter for fracture - Stress fracture, left femur, sequela |
| M84.361A - M84.364S | Stress fracture, right tibia, initial encounter for fracture - Stress fracture, left fibula, sequela |
| M84.451A - M84.452S | Pathological fracture, right femur, initial encounter for fracture - Pathological fracture, left femur, sequela |
| M84.461A - M84.464S | Pathological fracture, right tibia, initial encounter for fracture - Pathological fracture, left fibula, sequela |
| M84.551A - M84.552S | Pathological fracture in neoplastic disease, right femur, initial encounter for fracture - Pathological fracture in neoplastic disease, left femur, sequela |
| M84.561A - M84.564S | Pathological fracture in neoplastic disease, right tibia, initial encounter for fracture - Pathological fracture in neoplastic disease, left fibula, sequela |
| M84.651A - M84.652S | Pathological fracture in other disease, right femur, initial encounter for fracture - Pathological fracture in other disease, left femur, sequela |
| M84.661A - M84.664S | Pathological fracture in other disease, right tibia, initial encounter for fracture - Pathological fracture in other disease, left fibula, sequela |
| M87.061 | Idiopathic aseptic necrosis of right tibia |
| M87.062 | Idiopathic aseptic necrosis of left tibia |
| M87.064 | Idiopathic aseptic necrosis of right fibula |
| M87.065 | Idiopathic aseptic necrosis of left fibula |
| M87.161 | Osteonecrosis due to drugs, right tibia |
| M87.162 | Osteonecrosis due to drugs, left tibia |
| M87.164 | Osteonecrosis due to drugs, right fibula |
| M87.165 | Osteonecrosis due to drugs, left fibula |
| M87.261 | Osteonecrosis due to previous trauma, right tibia |
| M87.262 | Osteonecrosis due to previous trauma, left tibia |
| M87.264 | Osteonecrosis due to previous trauma, right fibula |
| M87.265 | Osteonecrosis due to previous trauma, left fibula |
| M87.361 | Other secondary osteonecrosis, right tibia |
| M87.362 | Other secondary osteonecrosis, left tibia |
| M87.364 | Other secondary osteonecrosis, right fibula |
| M87.365 | Other secondary osteonecrosis, left fibula |
| M87.861 | Other osteonecrosis, right tibia |
| M87.862 | Other osteonecrosis, left tibia |
| M87.864 | Other osteonecrosis, right fibula |
| M87.865 | Other osteonecrosis, left fibula |
| M90.561 | Osteonecrosis in diseases classified elsewhere, right lower leg |
| M90.562 | Osteonecrosis in diseases classified elsewhere, left lower leg |
| M96.661 | Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg |
| M96.662 | Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, left leg |
| M96.671 | Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg |
| M96.672 | Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, left leg |
| Q68.2 | Congenital deformity of knee |
| Q68.6 | Discoid meniscus |
| Q74.1 | Congenital malformation of knee |
| S72.001A - S72.002S | Fracture of unspecified part of neck of right femur, initial encounter for closed fracture - Fracture of unspecified part of neck of left femur, sequela |
| S72.011A - S72.012S | Unspecified intracapsular fracture of right femur, initial encounter for closed fracture - Unspecified intracapsular fracture of left femur, sequela |
| S72.021A - S72.022S | Displaced fracture of epiphysis (separation) (upper) of right femur, initial encounter for closed fracture - Displaced fracture of epiphysis (separation) (upper) of left femur, sequela |
| S72.024A - S72.025S | Nondisplaced fracture of epiphysis (separation) (upper) of right femur, initial encounter for closed fracture - Nondisplaced fracture of epiphysis (separation) (upper) of left femur, sequela |
| S72.031A - S72.032S | Displaced midcervical fracture of right femur, initial encounter for closed fracture - Displaced midcervical fracture of left femur, sequela |
| S72.034A - S72.035S | Nondisplaced midcervical fracture of right femur, initial encounter for closed fracture - Nondisplaced midcervical fracture of left femur, sequela |
| S72.041A - S72.042S | Displaced fracture of base of neck of right femur, initial encounter for closed fracture - Displaced fracture of base of neck of left femur, sequela |
| S72.044A - S72.045S | Nondisplaced fracture of base of neck of right femur, initial encounter for closed fracture - Nondisplaced fracture of base of neck of left femur, sequela |
| S72.051A - S72.052S | Unspecified fracture of head of right femur, initial encounter for closed fracture - Unspecified fracture of head of left femur, sequela |
| S72.061A - S72.062S | Displaced articular fracture of head of right femur, initial encounter for closed fracture - Displaced articular fracture of head of left femur, sequela |
| S72.064A - S72.065S | Nondisplaced articular fracture of head of right femur, initial encounter for closed fracture - Nondisplaced articular fracture of head of left femur, sequela |
| S72.091A - S72.092S | Other fracture of head and neck of right femur, initial encounter for closed fracture - Other fracture of head and neck of left femur, sequela |
| S72.101A - S72.102S | Unspecified trochanteric fracture of right femur, initial encounter for closed fracture - Unspecified trochanteric fracture of left femur, sequela |
| S72.111A - S72.112S | Displaced fracture of greater trochanter of right femur, initial encounter for closed fracture - Displaced fracture of greater trochanter of left femur, sequela |
| S72.114A - S72.115S | Nondisplaced fracture of greater trochanter of right femur, initial encounter for closed fracture - Nondisplaced fracture of greater trochanter of left femur, sequela |
| S72.121A - S72.122S | Displaced fracture of lesser trochanter of right femur, initial encounter for closed fracture - Displaced fracture of lesser trochanter of left femur, sequela |
| S72.124A - S72.125S | Nondisplaced fracture of lesser trochanter of right femur, initial encounter for closed fracture - Nondisplaced fracture of lesser trochanter of left femur, sequela |
| S72.131A - S72.132S | Displaced apophyseal fracture of right femur, initial encounter for closed fracture - Displaced apophyseal fracture of left femur, sequela |
| S72.134A - S72.135S | Nondisplaced apophyseal fracture of right femur, initial encounter for closed fracture - Nondisplaced apophyseal fracture of left femur, sequela |
| S72.141A - S72.142S | Displaced intertrochanteric fracture of right femur, initial encounter for closed fracture - Displaced intertrochanteric fracture of left femur, sequela |
| S72.144A - S72.145S | Nondisplaced intertrochanteric fracture of right femur, initial encounter for closed fracture - Nondisplaced intertrochanteric fracture of left femur, sequela |
| S72.21XA - S72.22XS | Displaced subtrochanteric fracture of right femur, initial encounter for closed fracture - Displaced subtrochanteric fracture of left femur, sequela |
| S72.24XA - S72.25XS | Nondisplaced subtrochanteric fracture of right femur, initial encounter for closed fracture - Nondisplaced subtrochanteric fracture of left femur, sequela |
| S72.301A - S72.302S | Unspecified fracture of shaft of right femur, initial encounter for closed fracture - Unspecified fracture of shaft of left femur, sequela |
| S72.321A - S72.322S | Displaced transverse fracture of shaft of right femur, initial encounter for closed fracture - Displaced transverse fracture of shaft of left femur, sequela |
| S72.324A - S72.325S | Nondisplaced transverse fracture of shaft of right femur, initial encounter for closed fracture - Nondisplaced transverse fracture of shaft of left femur, sequela |
| S72.331A - S72.332S | Displaced oblique fracture of shaft of right femur, initial encounter for closed fracture - Displaced oblique fracture of shaft of left femur, sequela |
| S72.334A - S72.335S | Nondisplaced oblique fracture of shaft of right femur, initial encounter for closed fracture - Nondisplaced oblique fracture of shaft of left femur, sequela |
| S72.341A - S72.342S | Displaced spiral fracture of shaft of right femur, initial encounter for closed fracture - Displaced spiral fracture of shaft of left femur, sequela |
| S72.344A - S72.345S | Nondisplaced spiral fracture of shaft of right femur, initial encounter for closed fracture - Nondisplaced spiral fracture of shaft of left femur, sequela |
| S72.351A - S72.352S | Displaced comminuted fracture of shaft of right femur, initial encounter for closed fracture - Displaced comminuted fracture of shaft of left femur, sequela |
| S72.354A - S72.355S | Nondisplaced comminuted fracture of shaft of right femur, initial encounter for closed fracture - Nondisplaced comminuted fracture of shaft of left femur, sequela |
| S72.361A - S72.362S | Displaced segmental fracture of shaft of right femur, initial encounter for closed fracture - Displaced segmental fracture of shaft of left femur, sequela |
| S72.364A - S72.365S | Nondisplaced segmental fracture of shaft of right femur, initial encounter for closed fracture - Nondisplaced segmental fracture of shaft of left femur, sequela |
| S72.391A - S72.392S | Other fracture of shaft of right femur, initial encounter for closed fracture - Other fracture of shaft of left femur, sequela |
| S72.401A - S72.402S | Unspecified fracture of lower end of right femur, initial encounter for closed fracture - Unspecified fracture of lower end of left femur, sequela |
| S72.411A - S72.412S | Displaced unspecified condyle fracture of lower end of right femur, initial encounter for closed fracture - Displaced unspecified condyle fracture of lower end of left femur, sequela |
| S72.414A - S72.415S | Nondisplaced unspecified condyle fracture of lower end of right femur, initial encounter for closed fracture - Nondisplaced unspecified condyle fracture of lower end of left femur, sequela |
| S72.421A - S72.422S | Displaced fracture of lateral condyle of right femur, initial encounter for closed fracture - Displaced fracture of lateral condyle of left femur, sequela |
| S72.424A - S72.425S | Nondisplaced fracture of lateral condyle of right femur, initial encounter for closed fracture - Nondisplaced fracture of lateral condyle of left femur, sequela |
| S72.431A - S72.432S | Displaced fracture of medial condyle of right femur, initial encounter for closed fracture - Displaced fracture of medial condyle of left femur, sequela |
| S72.434A - S72.435S | Nondisplaced fracture of medial condyle of right femur, initial encounter for closed fracture - Nondisplaced fracture of medial condyle of left femur, sequela |
| S72.441A - S72.442S | Displaced fracture of lower epiphysis (separation) of right femur, initial encounter for closed fracture - Displaced fracture of lower epiphysis (separation) of left femur, sequela |
| S72.444A - S72.445S | Nondisplaced fracture of lower epiphysis (separation) of right femur, initial encounter for closed fracture - Nondisplaced fracture of lower epiphysis (separation) of left femur, sequela |
| S72.451A - S72.452S | Displaced supracondylar fracture without intracondylar extension of lower end of right femur, initial encounter for closed fracture - Displaced supracondylar fracture without intracondylar extension of lower end of left femur, sequela |
| S72.454A - S72.455S | Nondisplaced supracondylar fracture without intracondylar extension of lower end of right femur, initial encounter for closed fracture - Nondisplaced supracondylar fracture without intracondylar extension of lower end of left femur, sequela |
| S72.461A - S72.462S | Displaced supracondylar fracture with intracondylar extension of lower end of right femur, initial encounter for closed fracture - Displaced supracondylar fracture with intracondylar extension of lower end of left femur, sequela |
| S72.464A - S72.465S | Nondisplaced supracondylar fracture with intracondylar extension of lower end of right femur, initial encounter for closed fracture - Nondisplaced supracondylar fracture with intracondylar extension of lower end of left femur, sequela |
| S72.471A - S72.472S | Torus fracture of lower end of right femur, initial encounter for closed fracture - Torus fracture of lower end of left femur, sequela |
| S72.491A - S72.492S | Other fracture of lower end of right femur, initial encounter for closed fracture - Other fracture of lower end of left femur, sequela |
| S72.8X1A - S72.8X2S | Other fracture of right femur, initial encounter for closed fracture - Other fracture of left femur, sequela |
| S72.91XA - S72.92XS | Unspecified fracture of right femur, initial encounter for closed fracture - Unspecified fracture of left femur, sequela |
| S76.111A | Strain of right quadriceps muscle, fascia and tendon, initial encounter |
| S76.111D | Strain of right quadriceps muscle, fascia and tendon, subsequent encounter |
| S76.111S | Strain of right quadriceps muscle, fascia and tendon, sequela |
| S76.112A | Strain of left quadriceps muscle, fascia and tendon, initial encounter |
| S76.112D | Strain of left quadriceps muscle, fascia and tendon, subsequent encounter |
| S76.112S | Strain of left quadriceps muscle, fascia and tendon, sequela |
| S76.121A | Laceration of right quadriceps muscle, fascia and tendon, initial encounter |
| S76.121D | Laceration of right quadriceps muscle, fascia and tendon, subsequent encounter |
| S76.121S | Laceration of right quadriceps muscle, fascia and tendon, sequela |
| S76.122A | Laceration of left quadriceps muscle, fascia and tendon, initial encounter |
| S76.122D | Laceration of left quadriceps muscle, fascia and tendon, subsequent encounter |
| S76.122S | Laceration of left quadriceps muscle, fascia and tendon, sequela |
| S79.001A - S79.002S | Unspecified physeal fracture of upper end of right femur, initial encounter for closed fracture - Unspecified physeal fracture of upper end of left femur, sequela |
| S79.011A - S79.012S | Salter-Harris Type I physeal fracture of upper end of right femur, initial encounter for closed fracture - Salter-Harris Type I physeal fracture of upper end of left femur, sequela |
| S79.091A - S79.092S | Other physeal fracture of upper end of right femur, initial encounter for closed fracture - Other physeal fracture of upper end of left femur, sequela |
| S79.101A - S79.102S | Unspecified physeal fracture of lower end of right femur, initial encounter for closed fracture - Unspecified physeal fracture of lower end of left femur, sequela |
| S79.111A - S79.112S | Salter-Harris Type I physeal fracture of lower end of right femur, initial encounter for closed fracture - Salter-Harris Type I physeal fracture of lower end of left femur, sequela |
| S79.121A - S79.122S | Salter-Harris Type II physeal fracture of lower end of right femur, initial encounter for closed fracture - Salter-Harris Type II physeal fracture of lower end of left femur, sequela |
| S79.131A - S79.132S | Salter-Harris Type III physeal fracture of lower end of right femur, initial encounter for closed fracture - Salter-Harris Type III physeal fracture of lower end of left femur, sequela |
| S79.141A - S79.142S | Salter-Harris Type IV physeal fracture of lower end of right femur, initial encounter for closed fracture - Salter-Harris Type IV physeal fracture of lower end of left femur, sequela |
| S79.191A - S79.192S | Other physeal fracture of lower end of right femur, initial encounter for closed fracture - Other physeal fracture of lower end of left femur, sequela |
| S82.001A - S82.002S | Unspecified fracture of right patella, initial encounter for closed fracture - Unspecified fracture of left patella, sequela |
| S82.011A - S82.012S | Displaced osteochondral fracture of right patella, initial encounter for closed fracture - Displaced osteochondral fracture of left patella, sequela |
| S82.014A - S82.015S | Nondisplaced osteochondral fracture of right patella, initial encounter for closed fracture - Nondisplaced osteochondral fracture of left patella, sequela |
| S82.021A - S82.022S | Displaced longitudinal fracture of right patella, initial encounter for closed fracture - Displaced longitudinal fracture of left patella, sequela |
| S82.024A - S82.025S | Nondisplaced longitudinal fracture of right patella, initial encounter for closed fracture - Nondisplaced longitudinal fracture of left patella, sequela |
| S82.031A - S82.032S | Displaced transverse fracture of right patella, initial encounter for closed fracture - Displaced transverse fracture of left patella, sequela |
| S82.034A - S82.035S | Nondisplaced transverse fracture of right patella, initial encounter for closed fracture - Nondisplaced transverse fracture of left patella, sequela |
| S82.041A - S82.042S | Displaced comminuted fracture of right patella, initial encounter for closed fracture - Displaced comminuted fracture of left patella, sequela |
| S82.044A - S82.045S | Nondisplaced comminuted fracture of right patella, initial encounter for closed fracture - Nondisplaced comminuted fracture of left patella, sequela |
| S82.091A - S82.092S | Other fracture of right patella, initial encounter for closed fracture - Other fracture of left patella, sequela |
| S82.101A - S82.102S | Unspecified fracture of upper end of right tibia, initial encounter for closed fracture - Unspecified fracture of upper end of left tibia, sequela |
| S82.111A - S82.112S | Displaced fracture of right tibial spine, initial encounter for closed fracture - Displaced fracture of left tibial spine, sequela |
| S82.114A - S82.115S | Nondisplaced fracture of right tibial spine, initial encounter for closed fracture - Nondisplaced fracture of left tibial spine, sequela |
| S82.121A - S82.122S | Displaced fracture of lateral condyle of right tibia, initial encounter for closed fracture - Displaced fracture of lateral condyle of left tibia, sequela |
| S82.124A - S82.125S | Nondisplaced fracture of lateral condyle of right tibia, initial encounter for closed fracture - Nondisplaced fracture of lateral condyle of left tibia, sequela |
| S82.131A - S82.132S | Displaced fracture of medial condyle of right tibia, initial encounter for closed fracture - Displaced fracture of medial condyle of left tibia, sequela |
| S82.134A - S82.135S | Nondisplaced fracture of medial condyle of right tibia, initial encounter for closed fracture - Nondisplaced fracture of medial condyle of left tibia, sequela |
| S82.141A - S82.142S | Displaced bicondylar fracture of right tibia, initial encounter for closed fracture - Displaced bicondylar fracture of left tibia, sequela |
| S82.144A - S82.145S | Nondisplaced bicondylar fracture of right tibia, initial encounter for closed fracture - Nondisplaced bicondylar fracture of left tibia, sequela |
| S82.151A - S82.152S | Displaced fracture of right tibial tuberosity, initial encounter for closed fracture - Displaced fracture of left tibial tuberosity, sequela |
| S82.154A - S82.155S | Nondisplaced fracture of right tibial tuberosity, initial encounter for closed fracture - Nondisplaced fracture of left tibial tuberosity, sequela |
| S82.161A - S82.162S | Torus fracture of upper end of right tibia, initial encounter for closed fracture - Torus fracture of upper end of left tibia, sequela |
| S82.191A - S82.192S | Other fracture of upper end of right tibia, initial encounter for closed fracture - Other fracture of upper end of left tibia, sequela |
| S82.201A - S82.202S | Unspecified fracture of shaft of right tibia, initial encounter for closed fracture - Unspecified fracture of shaft of left tibia, sequela |
| S82.221A - S82.222S | Displaced transverse fracture of shaft of right tibia, initial encounter for closed fracture - Displaced transverse fracture of shaft of left tibia, sequela |
| S82.224A - S82.225S | Nondisplaced transverse fracture of shaft of right tibia, initial encounter for closed fracture - Nondisplaced transverse fracture of shaft of left tibia, sequela |
| S82.231A - S82.232S | Displaced oblique fracture of shaft of right tibia, initial encounter for closed fracture - Displaced oblique fracture of shaft of left tibia, sequela |
| S82.234A - S82.235S | Nondisplaced oblique fracture of shaft of right tibia, initial encounter for closed fracture - Nondisplaced oblique fracture of shaft of left tibia, sequela |
| S82.241A - S82.242S | Displaced spiral fracture of shaft of right tibia, initial encounter for closed fracture - Displaced spiral fracture of shaft of left tibia, sequela |
| S82.244A - S82.245S | Nondisplaced spiral fracture of shaft of right tibia, initial encounter for closed fracture - Nondisplaced spiral fracture of shaft of left tibia, sequela |
| S82.251A - S82.252S | Displaced comminuted fracture of shaft of right tibia, initial encounter for closed fracture - Displaced comminuted fracture of shaft of left tibia, sequela |
| S82.254A - S82.255S | Nondisplaced comminuted fracture of shaft of right tibia, initial encounter for closed fracture - Nondisplaced comminuted fracture of shaft of left tibia, sequela |
| S82.261A - S82.262S | Displaced segmental fracture of shaft of right tibia, initial encounter for closed fracture - Displaced segmental fracture of shaft of left tibia, sequela |
| S82.264A - S82.265S | Nondisplaced segmental fracture of shaft of right tibia, initial encounter for closed fracture - Nondisplaced segmental fracture of shaft of left tibia, sequela |
| S82.291A - S82.292S | Other fracture of shaft of right tibia, initial encounter for closed fracture - Other fracture of shaft of left tibia, sequela |
| S82.301A - S82.302S | Unspecified fracture of lower end of right tibia, initial encounter for closed fracture - Unspecified fracture of lower end of left tibia, sequela |
| S82.311A - S82.312S | Torus fracture of lower end of right tibia, initial encounter for closed fracture - Torus fracture of lower end of left tibia, sequela |
| S82.391A - S82.392S | Other fracture of lower end of right tibia, initial encounter for closed fracture - Other fracture of lower end of left tibia, sequela |
| S82.401A - S82.402S | Unspecified fracture of shaft of right fibula, initial encounter for closed fracture - Unspecified fracture of shaft of left fibula, sequela |
| S82.421A - S82.422S | Displaced transverse fracture of shaft of right fibula, initial encounter for closed fracture - Displaced transverse fracture of shaft of left fibula, sequela |
| S82.424A - S82.425S | Nondisplaced transverse fracture of shaft of right fibula, initial encounter for closed fracture - Nondisplaced transverse fracture of shaft of left fibula, sequela |
| S82.431A - S82.432S | Displaced oblique fracture of shaft of right fibula, initial encounter for closed fracture - Displaced oblique fracture of shaft of left fibula, sequela |
| S82.434A - S82.435S | Nondisplaced oblique fracture of shaft of right fibula, initial encounter for closed fracture - Nondisplaced oblique fracture of shaft of left fibula, sequela |
| S82.441A - S82.442S | Displaced spiral fracture of shaft of right fibula, initial encounter for closed fracture - Displaced spiral fracture of shaft of left fibula, sequela |
| S82.444A - S82.445S | Nondisplaced spiral fracture of shaft of right fibula, initial encounter for closed fracture - Nondisplaced spiral fracture of shaft of left fibula, sequela |
| S82.451A - S82.452S | Displaced comminuted fracture of shaft of right fibula, initial encounter for closed fracture - Displaced comminuted fracture of shaft of left fibula, sequela |
| S82.454A - S82.455S | Nondisplaced comminuted fracture of shaft of right fibula, initial encounter for closed fracture - Nondisplaced comminuted fracture of shaft of left fibula, sequela |
| S82.461A - S82.462S | Displaced segmental fracture of shaft of right fibula, initial encounter for closed fracture - Displaced segmental fracture of shaft of left fibula, sequela |
| S82.464A - S82.465S | Nondisplaced segmental fracture of shaft of right fibula, initial encounter for closed fracture - Nondisplaced segmental fracture of shaft of left fibula, sequela |
| S82.491A - S82.492S | Other fracture of shaft of right fibula, initial encounter for closed fracture - Other fracture of shaft of left fibula, sequela |
| S82.51XA - S82.52XS | Displaced fracture of medial malleolus of right tibia, initial encounter for closed fracture - Displaced fracture of medial malleolus of left tibia, sequela |
| S82.54XA - S82.55XS | Nondisplaced fracture of medial malleolus of right tibia, initial encounter for closed fracture - Nondisplaced fracture of medial malleolus of left tibia, sequela |
| S82.61XA - S82.62XS | Displaced fracture of lateral malleolus of right fibula, initial encounter for closed fracture - Displaced fracture of lateral malleolus of left fibula, sequela |
| S82.64XA - S82.65XS | Nondisplaced fracture of lateral malleolus of right fibula, initial encounter for closed fracture - Nondisplaced fracture of lateral malleolus of left fibula, sequela |
| S82.811A - S82.812S | Torus fracture of upper end of right fibula, initial encounter for closed fracture - Torus fracture of upper end of left fibula, sequela |
| S82.821A - S82.822S | Torus fracture of lower end of right fibula, initial encounter for closed fracture - Torus fracture of lower end of left fibula, sequela |
| S82.831A - S82.832S | Other fracture of upper and lower end of right fibula, initial encounter for closed fracture - Other fracture of upper and lower end of left fibula, sequela |
| S82.841A - S82.842S | Displaced bimalleolar fracture of right lower leg, initial encounter for closed fracture - Displaced bimalleolar fracture of left lower leg, sequela |
| S82.844A - S82.845S | Nondisplaced bimalleolar fracture of right lower leg, initial encounter for closed fracture - Nondisplaced bimalleolar fracture of left lower leg, sequela |
| S82.851A - S82.852S | Displaced trimalleolar fracture of right lower leg, initial encounter for closed fracture - Displaced trimalleolar fracture of left lower leg, sequela |
| S82.854A - S82.855S | Nondisplaced trimalleolar fracture of right lower leg, initial encounter for closed fracture - Nondisplaced trimalleolar fracture of left lower leg, sequela |
| S82.861A - S82.862S | Displaced Maisonneuve's fracture of right leg, initial encounter for closed fracture - Displaced Maisonneuve's fracture of left leg, sequela |
| S82.864A - S82.865S | Nondisplaced Maisonneuve's fracture of right leg, initial encounter for closed fracture - Nondisplaced Maisonneuve's fracture of left leg, sequela |
| S82.871A - S82.872S | Displaced pilon fracture of right tibia, initial encounter for closed fracture - Displaced pilon fracture of left tibia, sequela |
| S82.874A - S82.875S | Nondisplaced pilon fracture of right tibia, initial encounter for closed fracture - Nondisplaced pilon fracture of left tibia, sequela |
| S82.891A - S82.892S | Other fracture of right lower leg, initial encounter for closed fracture - Other fracture of left lower leg, sequela |
| S82.91XA - S82.92XS | Unspecified fracture of right lower leg, initial encounter for closed fracture - Unspecified fracture of left lower leg, sequela |
| S83.001A - S83.002S | Unspecified subluxation of right patella, initial encounter - Unspecified subluxation of left patella, sequela |
| S83.004A - S83.005S | Unspecified dislocation of right patella, initial encounter - Unspecified dislocation of left patella, sequela |
| S83.011A - S83.012S | Lateral subluxation of right patella, initial encounter - Lateral subluxation of left patella, sequela |
| S83.014A - S83.015S | Lateral dislocation of right patella, initial encounter - Lateral dislocation of left patella, sequela |
| S83.091A - S83.092S | Other subluxation of right patella, initial encounter - Other subluxation of left patella, sequela |
| S83.094A - S83.095S | Other dislocation of right patella, initial encounter - Other dislocation of left patella, sequela |
| S83.101A - S83.102S | Unspecified subluxation of right knee, initial encounter - Unspecified subluxation of left knee, sequela |
| S83.104A - S83.105S | Unspecified dislocation of right knee, initial encounter - Unspecified dislocation of left knee, sequela |
| S83.111A - S83.112S | Anterior subluxation of proximal end of tibia, right knee, initial encounter - Anterior subluxation of proximal end of tibia, left knee, sequela |
| S83.114A - S83.115S | Anterior dislocation of proximal end of tibia, right knee, initial encounter - Anterior dislocation of proximal end of tibia, left knee, sequela |
| S83.121A - S83.122S | Posterior subluxation of proximal end of tibia, right knee, initial encounter - Posterior subluxation of proximal end of tibia, left knee, sequela |
| S83.124A - S83.125S | Posterior dislocation of proximal end of tibia, right knee, initial encounter - Posterior dislocation of proximal end of tibia, left knee, sequela |
| S83.131A - S83.132S | Medial subluxation of proximal end of tibia, right knee, initial encounter - Medial subluxation of proximal end of tibia, left knee, sequela |
| S83.134A - S83.135S | Medial dislocation of proximal end of tibia, right knee, initial encounter - Medial dislocation of proximal end of tibia, left knee, sequela |
| S83.141A - S83.142S | Lateral subluxation of proximal end of tibia, right knee, initial encounter - Lateral subluxation of proximal end of tibia, left knee, sequela |
| S83.144A - S83.145S | Lateral dislocation of proximal end of tibia, right knee, initial encounter - Lateral dislocation of proximal end of tibia, left knee, sequela |
| S83.191A - S83.192S | Other subluxation of right knee, initial encounter - Other subluxation of left knee, sequela |
| S83.194A - S83.195S | Other dislocation of right knee, initial encounter - Other dislocation of left knee, sequela |
| S83.200A - S83.201S | Bucket-handle tear of unspecified meniscus, current injury, right knee, initial encounter - Bucket-handle tear of unspecified meniscus, current injury, left knee, sequela |
| S83.203A - S83.204S | Other tear of unspecified meniscus, current injury, right knee, initial encounter - Other tear of unspecified meniscus, current injury, left knee, sequela |
| S83.206A - S83.207S | Unspecified tear of unspecified meniscus, current injury, right knee, initial encounter - Unspecified tear of unspecified meniscus, current injury, left knee, sequela |
| S83.211A - S83.212S | Bucket-handle tear of medial meniscus, current injury, right knee, initial encounter - Bucket-handle tear of medial meniscus, current injury, left knee, sequela |
| S83.221A - S83.222S | Peripheral tear of medial meniscus, current injury, right knee, initial encounter - Peripheral tear of medial meniscus, current injury, left knee, sequela |
| S83.231A - S83.232S | Complex tear of medial meniscus, current injury, right knee, initial encounter - Complex tear of medial meniscus, current injury, left knee, sequela |
| S83.241A - S83.242S | Other tear of medial meniscus, current injury, right knee, initial encounter - Other tear of medial meniscus, current injury, left knee, sequela |
| S83.251A - S83.252S | Bucket-handle tear of lateral meniscus, current injury, right knee, initial encounter - Bucket-handle tear of lateral meniscus, current injury, left knee, sequela |
| S83.261A - S83.262S | Peripheral tear of lateral meniscus, current injury, right knee, initial encounter - Peripheral tear of lateral meniscus, current injury, left knee, sequela |
| S83.271A - S83.272S | Complex tear of lateral meniscus, current injury, right knee, initial encounter - Complex tear of lateral meniscus, current injury, left knee, sequela |
| S83.281A - S83.282S | Other tear of lateral meniscus, current injury, right knee, initial encounter - Other tear of lateral meniscus, current injury, left knee, sequela |
| S83.31XA - S83.32XS | Tear of articular cartilage of right knee, current, initial encounter - Tear of articular cartilage of left knee, current, sequela |
| S83.401A - S83.402S | Sprain of unspecified collateral ligament of right knee, initial encounter - Sprain of unspecified collateral ligament of left knee, sequela |
| S83.411A - S83.412S | Sprain of medial collateral ligament of right knee, initial encounter - Sprain of medial collateral ligament of left knee, sequela |
| S83.421A - S83.422S | Sprain of lateral collateral ligament of right knee, initial encounter - Sprain of lateral collateral ligament of left knee, sequela |
| S83.501A - S83.502S | Sprain of unspecified cruciate ligament of right knee, initial encounter - Sprain of unspecified cruciate ligament of left knee, sequela |
| S83.511A - S83.512S | Sprain of anterior cruciate ligament of right knee, initial encounter - Sprain of anterior cruciate ligament of left knee, sequela |
| S83.521A - S83.522S | Sprain of posterior cruciate ligament of right knee, initial encounter - Sprain of posterior cruciate ligament of left knee, sequela |
| S83.8X1A - S83.8X2S | Sprain of other specified parts of right knee, initial encounter - Sprain of other specified parts of left knee, sequela |
| S86.111A - S86.112S | Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg, initial encounter - Strain of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg, sequela |
| S86.211A - S86.212S | Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, initial encounter - Strain of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, sequela |
| S86.311A - S86.312S | Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, initial encounter - Strain of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg, sequela |
| S86.811A - S86.812S | Strain of other muscle(s) and tendon(s) at lower leg level, right leg, initial encounter - Strain of other muscle(s) and tendon(s) at lower leg level, left leg, sequela |
| S89.001A - S89.002S | Unspecified physeal fracture of upper end of right tibia, initial encounter for closed fracture - Unspecified physeal fracture of upper end of left tibia, sequela |
| S89.011A - S89.012S | Salter-Harris Type I physeal fracture of upper end of right tibia, initial encounter for closed fracture - Salter-Harris Type I physeal fracture of upper end of left tibia, sequela |
| S89.021A - S89.022S | Salter-Harris Type II physeal fracture of upper end of right tibia, initial encounter for closed fracture - Salter-Harris Type II physeal fracture of upper end of left tibia, sequela |
| S89.031A - S89.032S | Salter-Harris Type III physeal fracture of upper end of right tibia, initial encounter for closed fracture - Salter-Harris Type III physeal fracture of upper end of left tibia, sequela |
| S89.041A - S89.042S | Salter-Harris Type IV physeal fracture of upper end of right tibia, initial encounter for closed fracture - Salter-Harris Type IV physeal fracture of upper end of left tibia, sequela |
| S89.091A - S89.092S | Other physeal fracture of upper end of right tibia, initial encounter for closed fracture - Other physeal fracture of upper end of left tibia, sequela |
| S89.101A - S89.102S | Unspecified physeal fracture of lower end of right tibia, initial encounter for closed fracture - Unspecified physeal fracture of lower end of left tibia, sequela |
| S89.111A - S89.112S | Salter-Harris Type I physeal fracture of lower end of right tibia, initial encounter for closed fracture - Salter-Harris Type I physeal fracture of lower end of left tibia, sequela |
| S89.121A - S89.122S | Salter-Harris Type II physeal fracture of lower end of right tibia, initial encounter for closed fracture - Salter-Harris Type II physeal fracture of lower end of left tibia, sequela |
| S89.131A - S89.132S | Salter-Harris Type III physeal fracture of lower end of right tibia, initial encounter for closed fracture - Salter-Harris Type III physeal fracture of lower end of left tibia, sequela |
| S89.141A - S89.142S | Salter-Harris Type IV physeal fracture of lower end of right tibia, initial encounter for closed fracture - Salter-Harris Type IV physeal fracture of lower end of left tibia, sequela |
| S89.191A - S89.192S | Other physeal fracture of lower end of right tibia, initial encounter for closed fracture - Other physeal fracture of lower end of left tibia, sequela |
| S89.201A - S89.202S | Unspecified physeal fracture of upper end of right fibula, initial encounter for closed fracture - Unspecified physeal fracture of upper end of left fibula, sequela |
| S89.211A - S89.212S | Salter-Harris Type I physeal fracture of upper end of right fibula, initial encounter for closed fracture - Salter-Harris Type I physeal fracture of upper end of left fibula, sequela |
| S89.221A - S89.222S | Salter-Harris Type II physeal fracture of upper end of right fibula, initial encounter for closed fracture - Salter-Harris Type II physeal fracture of upper end of left fibula, sequela |
| S89.291A - S89.292S | Other physeal fracture of upper end of right fibula, initial encounter for closed fracture - Other physeal fracture of upper end of left fibula, sequela |
| S89.301A - S89.302S | Unspecified physeal fracture of lower end of right fibula, initial encounter for closed fracture - Unspecified physeal fracture of lower end of left fibula, sequela |
| S89.311A - S89.312S | Salter-Harris Type I physeal fracture of lower end of right fibula, initial encounter for closed fracture - Salter-Harris Type I physeal fracture of lower end of left fibula, sequela |
| S89.321A - S89.322S | Salter-Harris Type II physeal fracture of lower end of right fibula, initial encounter for closed fracture - Salter-Harris Type II physeal fracture of lower end of left fibula, sequela |
| S89.391A - S89.392S | Other physeal fracture of lower end of right fibula, initial encounter for closed fracture - Other physeal fracture of lower end of left fibula, sequela |
| T84.012A - T84.013S | Broken internal right knee prosthesis, initial encounter - Broken internal left knee prosthesis, sequela |
| T84.022A - T84.023S | Instability of internal right knee prosthesis, initial encounter - Instability of internal left knee prosthesis, sequela |
| T84.032A - T84.033S | Mechanical loosening of internal right knee prosthetic joint, initial encounter - Mechanical loosening of internal left knee prosthetic joint, sequela |
| T84.052A - T84.053S | Periprosthetic osteolysis of internal prosthetic right knee joint, initial encounter - Periprosthetic osteolysis of internal prosthetic left knee joint, sequela |
| T84.062A - T84.063S | Wear of articular bearing surface of internal prosthetic right knee joint, initial encounter - Wear of articular bearing surface of internal prosthetic left knee joint, sequela |
| T84.092A - T84.093S | Other mechanical complication of internal right knee prosthesis, initial encounter - Other mechanical complication of internal left knee prosthesis, sequela |
| T84.114A - T84.117S | Breakdown (mechanical) of internal fixation device of right femur, initial encounter - Breakdown (mechanical) of internal fixation device of bone of left lower leg, sequela |
| T84.124A - T84.127S | Displacement of internal fixation device of right femur, initial encounter - Displacement of internal fixation device of bone of left lower leg, sequela |
| T84.194A - T84.197S | Other mechanical complication of internal fixation device of right femur, initial encounter - Other mechanical complication of internal fixation device of bone of left lower leg, sequela |
| T84.410A - T84.410S | Breakdown (mechanical) of muscle and tendon graft, initial encounter - Breakdown (mechanical) of muscle and tendon graft, sequela |
| T84.420A - T84.420S | Displacement of muscle and tendon graft, initial encounter - Displacement of muscle and tendon graft, sequela |
| T84.498A - T84.498S | Other mechanical complication of other internal orthopedic devices, implants and grafts, initial encounter - Other mechanical complication of other internal orthopedic devices, implants and grafts, sequela |
| T84.53XA - T84.54XS | Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter - Infection and inflammatory reaction due to internal left knee prosthesis, sequela |
| T84.81XA - T84.89XS | Embolism due to internal orthopedic prosthetic devices, implants and grafts, initial encounter - Other specified complication of internal orthopedic prosthetic devices, implants and grafts, sequela |
| Z96.651 - Z96.653 | Presence of right artificial knee joint - Presence of artificial knee joint, bilateral |