ICD-10-CM · M17.11
ICD-10 M17.11: Unilateral primary osteoarthritis, right knee
Right knee primary OA. Common diagnosis driving knee injections and arthroplasty.
Code
M17.11
Category
Diseases of the musculoskeletal system (M00-M99)
Clinical context
Right knee primary OA. Common diagnosis driving knee injections and arthroplasty.
Documentation requirements
- X-ray showing OA changes (joint space narrowing, osteophytes)
- Conservative management trial
- Functional impairment
Common related procedures
- 73560 knee X-ray
- 20610 knee injection
- 27447 TKA (requires PA + 6-month conservative trial)
Common payer denial patterns
- HA injection (J7321) requires failure of corticosteroid
- TKA denied without documented 6 months conservative care including PT
Frequently asked questions
What does ICD-10 M17.11 mean?
Unilateral primary osteoarthritis, right knee
When is this code documented?
Right knee primary OA. Common diagnosis driving knee injections and arthroplasty.
What documentation supports this code?
X-ray showing OA changes (joint space narrowing, osteophytes); Conservative management trial; Functional impairment.
What are common denials associated with this diagnosis?
HA injection (J7321) requires failure of corticosteroid; TKA denied without documented 6 months conservative care including PT.
Related diagnoses
Sources
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