ICD-10-CM Billable Code

M94.262

Chondromalacia, left knee

Clinical Classification Guidelines

Medical Intelligence & Overview

Chondromalacia of the left knee is a condition characterized by the softening and deterioration of the cartilage underneath the kneecap (patella). This cartilage acts as a cushion, allowing smooth movement of the knee joint. When it becomes damaged, it can lead to pain, swelling, and difficulty moving the knee. Recognized under the ICD-10 code M94.262, this condition is commonly associated with overuse, injury, or misalignment of the kneecap, affecting individuals of various ages, especially those engaged in physical activities or sports.

Causes & Symptoms

Clinical Causes: Overuse or repetitive stress on the knee joint, often from sports or physical activities Injury or trauma to the knee, such as falls or direct blows Misalignment of the kneecap, leading to uneven pressure on the cartilage Muscle imbalances or weakness around the knee Structural abnormalities in the leg or knee joint Aging process causing natural cartilage wear

Key Symptoms: Dull or aching pain around or behind the kneecap, especially during activities like walking, squatting, or climbing stairs A feeling of grinding, crepitus, or instability in the knee joint Swelling or inflammation around the kneecap Tenderness when pressing on the front of the knee Increased pain after prolonged activity or sitting for long periods Difficulty bending or straightening the knee comfortably

Diagnostic & Treatment

Diagnosis Path: Diagnosis involves a combination of clinical assessment and imaging studies. A healthcare provider will review the patient’s medical history, conduct a physical examination, and evaluate knee movement and tenderness. Imaging tests such as X-rays can reveal bone alignment and joint space, though MRI scans are more effective at visualizing cartilage condition. These diagnostic steps help confirm chondromalacia and rule out other potential causes of knee pain.

Treatment Protocols: Rest and avoidance of activities that worsen symptoms Application of ice packs to reduce swelling and pain Over-the-counter pain relievers like NSAIDs (e.g., ibuprofen) to alleviate discomfort Physical therapy focusing on strengthening the muscles around the knee, especially the quadriceps, to improve joint stability Stretching exercises to enhance flexibility and correct alignment issues Use of knee braces or taping techniques to support proper kneecap tracking Weight management to decrease stress on the knee joint

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

Clinical Advice & FAQs

Billing Guidance

Is M94.262 a billable ICD-10 code?
Yes, M94.262 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.

Documentation

How do I report M94.262?
Clinical documentation must specify the nature of Chondromalacia, left knee and any associated comorbidities for accurate reporting.

Cite this Clinical Reference