tci ED Coding & Reimbursement Alert - 2020 Issue Q2

Reader Question: Nail Down 'Loose Body' Definition

Question: Our provider recently submitted a claim with a final diagnosis of loose body in the right elbow. What ICD-10 code would I choose for this condition, and what is a “loose body”? Pennsylvania Subscriber Answer: For this patient, you’ll report M24.021 (Loose body in right elbow) as a diagnosis. According to the ICD-10 code book instructions under M24.0- (Loose body in joint), a loose body in a joint “consists of fragments of bone and/or cartilage that float in the joint. These can float freely, or cause the joint to lock or catch.&rdquo...

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