← Back to Code Search

ICD-10 M23.621

Other spontaneous disruption of posterior cruciate ligament of right knee

ICD10 M23.621 Diseases of the musculoskeletal system and connective tissue

Description

Other spontaneous disruption of posterior cruciate ligament of right knee

Common Specialties

Orthopedics

Documentation Requirements

  • Document clinical indications and clear medical necessity supporting the encounter or procedure.
  • Ensure complete provider signatures, credentials, date, and specific place of service (POS).
  • Verify documentation strictly supports code specificity to prevent downcoding or claim denials.

Billing & Coding Tips

  • Verify current payer fee schedules, NCCI edits, and Medically Unlikely Edits (MUEs).
  • Append correct modifiers (e.g., 25, 59, 26, TC) where distinct procedural services or components apply.
  • Confirm pre-authorization rules with Medicare, Medicaid, and commercial plans before submission.

Related Codes

M23 M23.0 M23.00 M23.000 M23.001 M23.002 M23.003 M23.004 M23.005 M23.006 M23.007 M23.009 M23.01 M23.011 M23.012

Quantum Health Services provides full-cycle revenue cycle management and medical billing services nationwide. This code reference is for educational purposes; always verify official payer policies. CPT© descriptors require proper AMA licensing.