Report codes with a BILAT SURG indicator of 3 either by appending modifier 50 using 1 unit of service on one line or when performing the procedure on bilateral body parts. Restrictive Modifier: Explanation and Examples - Grammar Monster Use of CDT-4 is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). Refer to the long code narrative and any relevant coding guideline for the criteria applicable for each HCPCS code. In other cases, the term bilateral surgery may apply to procedures performed on each of a pair of structures. Modifiers LT and RT provide supplemental information for procedures performed on paired structures such as the eyes, lungs, arms, breasts, knees, etc. CMS and its products and services are not endorsed by the AHA or any of its affiliates. In other cases, modifier 50 may apply when procedures described by the same CPT code are performed on paired structures, such as eyes, arms, legs, breasts or kidneys. Some payors may require additionally that you append modifier 59 Distinct procedural service to 19100. support items made of material such as neoprene or spandex (elastane, Lycra) (not all-inclusive)) must be coded as A4467 (BELT, STRAP, SLEEVE, GARMENT, OR COVERING, ANY TYPE). The Medicare program provides limited benefits for outpatient prescription drugs. The sole responsibility for the software, including any CDT and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. There are a few stars that occur far above or below the disk.--"Astronomy," Compton's Encyclopedia Nonrestrictive. The final payment rule includes a 3.32% payment increase for Medicare Advantage plans, instead of the originally propos DHCSrecently initiated Phase III of the Medi-Cal Rx transition, which includes a series of Medi-Cal Rx transition pol DHCS recently initiated a series of Medi-Cal Rx transition policy lifts for beneficiaries 22 years of age and older. The AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. One unit of service includes all the components that are used at the same time on a single orthosis. 5. Modifiers LT and RT do affect payment, however, by providing the payer with added detail necessary to approve reimbursement. Your information could include a keyword or topic you're interested in; a Local Coverage Determination (LCD) policy or Article ID; or a CPT/HCPCS procedure/billing code or an ICD-10-CM diagnosis code. Do not use the combination RTLT modifier on the same claim line and bill with 2 UOS. Instructions for enabling "JavaScript" can be found here. . He has been writing and publishing about healthcare since 1979. The AMA assumes no liability for data contained or not contained herein. NCDs do not contain claims processing information like diagnosis or procedure codes nor do they give instructions to the provider on how to bill Medicare for the service or item. Use of modifiers LT and/or RT on the codes identified in the "Codes Restricting Modifiers LT and RT" list will be considered informational only. CPRs Coding Corner focuses on coding, compliance, and documentation issues relating specifically to physician billing. Codes L1834 (KNEE ORTHOSIS, WITHOUT KNEE JOINT, RIGID, MOLDED TO PATIENT MODEL, CUSTOM-FABRICATED) and L1836 (KNEE ORTHOSIS, RIGID, WITHOUT JOINT(S), INCLUDES SOFT INTERFACE MATERIAL, PREFABRICATED, OFF-THE-SHELF) describe rigid knee orthosis without a knee joint. PDF CHAP13-CPTcodes0001T-0999T Revision Date: 1/1/2022 CHAPTER XIII - CMS All rights reserved. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. will not infringe on privately owned rights. Anthem Blue Cross recently issued a systemwide notice to over 70,000 physicians with an amendment to its Prudent Buye A CMA sponsored bill to reform the prior authorization process passed out of Senate Health Committee on April 12. All Rights Reserved (or such other date of publication of CPT). Privacy Policy | Terms & Conditions | Contact Us. For example, 58953 Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking is, by definition, a bilateral procedure. Modifiers LT and RT: Left Side/Right Side Procedures Page 2 of 2 Reimbursement is based on 100% of the fee schedule or contracted/ negotiated rate of the procedure. "JavaScript" disabled. Central coast regi After three years of pandemic operations, May 11, 2023, marks the end of the federal COVID-19 public health emergency. Applications are available at the AMA Web site, https://www.ama-assn.org. Sometimes, a large group can make scrolling thru a document unwieldy. Modifiers LT and RT also may be used to describe rare cases when a provider performs unilaterally a procedure that CPT defines as bilateral. Perhaps for that reason, the rules for applying modifiers LT and RT are not stringently defined. Bilateral procedure reduction does not apply because services are already priced as a bilateral service. Medicare carriers for Part B services have specified that you should report modifier 50 claims as a single line item (e.g., 11600-50 x 1, in the example, above). Medicare contractors are required to develop and disseminate Articles. The codes description states it is an existing bilateral procedure. No other changes have been made to the Articles. The medical necessity for the orthosis begins during the hospital or SNF stay (e.g., after knee surgery). License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, AMA Plaza 330 N. Wabash Ave., Suite 39300, Chicago, IL 60611-5885. Is there a way to remove modding restrictions? : r/SPTarkov - Reddit procedure on 2 claim lines, each with 1 unit of service using modifiers LT and RT on different claim lines. Revision Effective Date: 02/01/2021CODING GUIDELINES: Added: (CVR) after reference to coding verification review Added: (PCL) after reference to Product Classification List Revised: Coding verification review information, to include incorrect coding denial language for products billed using HCPCS that require written coding verification review. Within the MPFS, the BILAT SURG column lists a modifier indicator. MACs can be found in the MAC Contacts Report. Correct Coding - RT and LT Modifier Usage Change - JD DME You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. HCPCS codes which describe PREFABRICATED ITEM THAT HAS BEEN TRIMMED, BENT, MOLDED, ASSEMBLED, OR OTHERWISE CUSTOMIZED TO FIT A SPECIFIC PATIENT BY AN INDIVIDUAL WITH EXPERTISE must be used when more than minimal self-adjustment is necessary at delivery. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. CPT is a trademark of the AMA. Effective July 1, 2016 oversight for DME MAC Articles is the responsibility of CGS Administrators, LLC 18003 and 17013 and Noridian Healthcare Solutions, LLC 19003 and 16013. See more than minimal self-adjustment definition below for additional information. For the most part, codes are no longer included in the LCD (policy). The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. These codes should not be billed with modifier 50. These materials contain Current Dental Terminology (CDTTM), copyright© 2022 American Dental Association (ADA). ICD-10-CM Codes that Support Medical Necessity, ICD-10-CM Codes that DO NOT Support Medical Necessity, A55426 - Standard Documentation Requirements for All Claims Submitted to DME MACs, K0672, L2390, L2425, L2430, L2750, L2780, L2810, L2820, L2830, L4002, K0672, L2390, L2425, L2430, L2750, L2780, L2820, L2830, L4002, K0672, L2750, L2780, L2810, L2820, L2830, L4002, K0672, L2275, L2390, L2425, L2430, L2750, L2780, L2810, L2820, L2830, L4002, K0672, L2320, L2330, L2750, L2780, L2810, L2820, L2830, L4002, K0672, L2275, L2320, L2330, L2425, L2430, L2750, L2780, L2810, L2820, L2830, L4002, Rheumatoid vasculitis with rheumatoid arthritis of right knee, Rheumatoid vasculitis with rheumatoid arthritis of left knee, Rheumatoid heart disease with rheumatoid arthritis of right knee, Rheumatoid heart disease with rheumatoid arthritis of left knee, Rheumatoid myopathy with rheumatoid arthritis of right knee, Rheumatoid myopathy with rheumatoid arthritis of left knee, Rheumatoid polyneuropathy with rheumatoid arthritis of right knee, Rheumatoid polyneuropathy with rheumatoid arthritis of left knee, Rheumatoid arthritis of right knee with involvement of other organs and systems, Rheumatoid arthritis of left knee with involvement of other organs and systems, Rheumatoid arthritis with rheumatoid factor of right knee without organ or systems involvement, Rheumatoid arthritis with rheumatoid factor of left knee without organ or systems involvement, Other rheumatoid arthritis with rheumatoid factor of right knee, Other rheumatoid arthritis with rheumatoid factor of left knee, Rheumatoid arthritis without rheumatoid factor, right knee, Rheumatoid arthritis without rheumatoid factor, left knee, Other specified rheumatoid arthritis, right knee, Other specified rheumatoid arthritis, left knee, Unspecified juvenile rheumatoid arthritis, right knee, Unspecified juvenile rheumatoid arthritis, left knee, Juvenile rheumatoid arthritis with systemic onset, right knee, Juvenile rheumatoid arthritis with systemic onset, left knee, Juvenile rheumatoid polyarthritis (seronegative), Pauciarticular juvenile rheumatoid arthritis, right knee, Pauciarticular juvenile rheumatoid arthritis, left knee, Juvenile arthritis, unspecified, right knee, Juvenile arthritis, unspecified, left knee, Chronic postrheumatic arthropathy [Jaccoud], right knee, Chronic postrheumatic arthropathy [Jaccoud], left knee, Unilateral primary osteoarthritis, right knee, Unilateral primary osteoarthritis, left knee, Bilateral post-traumatic osteoarthritis of knee, Unilateral post-traumatic osteoarthritis, right knee, Unilateral post-traumatic osteoarthritis, left knee, Other bilateral secondary osteoarthritis of knee, Other unilateral secondary osteoarthritis of knee, Other derangements of patella, right knee, Unspecified disorder of patella, right knee, Unspecified disorder of patella, left knee, Cystic meniscus, unspecified lateral meniscus, right knee, Cystic meniscus, unspecified lateral meniscus, left knee, Cystic meniscus, unspecified medial meniscus, right knee, Cystic meniscus, unspecified medial meniscus, left knee, Cystic meniscus, unspecified meniscus, right knee, Cystic meniscus, unspecified meniscus, left knee, Cystic meniscus, anterior horn of medial meniscus, right knee, Cystic meniscus, anterior horn of medial meniscus, left knee, Cystic meniscus, posterior horn of medial meniscus, right knee, Cystic meniscus, posterior horn of medial meniscus, left knee, Cystic meniscus, other medial meniscus, right knee, Cystic meniscus, other medial meniscus, left knee, Cystic meniscus, anterior horn of lateral meniscus, right knee, Cystic meniscus, anterior horn of lateral meniscus, left knee, Cystic meniscus, posterior horn of lateral meniscus, right knee, Cystic meniscus, posterior horn of lateral meniscus, left knee, Cystic meniscus, other lateral meniscus, right knee, Cystic meniscus, other lateral meniscus, left knee, Derangement of unspecified lateral meniscus due to old tear or injury, right knee, Derangement of unspecified lateral meniscus due to old tear or injury, left knee, Derangement of unspecified medial meniscus due to old tear or injury, right knee, Derangement of unspecified medial meniscus due to old tear or injury, left knee, Derangement of unspecified meniscus due to old tear or injury, right knee, Derangement of unspecified meniscus due to old tear or injury, left knee, Derangement of anterior horn of medial meniscus due to old tear or injury, right knee, Derangement of anterior horn of medial meniscus due to old tear or injury, left knee, Derangement of posterior horn of medial meniscus due to old tear or injury, right knee, Derangement of posterior horn of medial meniscus due to old tear or injury, left knee, Derangement of other medial meniscus due to old tear or injury, right knee, Derangement of other medial meniscus due to old tear or injury, left knee, Derangement of anterior horn of lateral meniscus due to old tear or injury, right knee, Derangement of anterior horn of lateral meniscus due to old tear or injury, left knee, Derangement of posterior horn of lateral meniscus due to old tear or injury, right knee, Derangement of posterior horn of lateral meniscus due to old tear or injury, left knee, Derangement of other lateral meniscus due to old tear or injury, right knee, Derangement of other lateral meniscus due to old tear or injury, left knee, Other meniscus derangements, unspecified lateral meniscus, right knee, Other meniscus derangements, unspecified lateral meniscus, left knee, Other meniscus derangements, unspecified medial meniscus, right knee, Other meniscus derangements, unspecified medial meniscus, left knee, Other meniscus derangements, unspecified meniscus, right knee, Other meniscus derangements, unspecified meniscus, left knee, Other meniscus derangements, anterior horn of medial meniscus, right knee, Other meniscus derangements, anterior horn of medial meniscus, left knee, Other meniscus derangements, posterior horn of medial meniscus, right knee, Other meniscus derangements, posterior horn of medial meniscus, left knee, Other meniscus derangements, other medial meniscus, right knee, Other meniscus derangements, other medial meniscus, left knee, Other meniscus derangements, anterior horn of lateral meniscus, right knee, Other meniscus derangements, anterior horn of lateral meniscus, left knee, Other meniscus derangements, posterior horn of lateral meniscus, right knee, Other meniscus derangements, posterior horn of lateral meniscus, left knee, Other meniscus derangements, other lateral meniscus, right knee, Other meniscus derangements, other lateral meniscus, left knee, Other spontaneous disruption of unspecified ligament of right knee, Other spontaneous disruption of unspecified ligament of left knee, Other spontaneous disruption of anterior cruciate ligament of right knee, Other spontaneous disruption of anterior cruciate ligament of left knee, Other spontaneous disruption of posterior cruciate ligament of right knee, Other spontaneous disruption of posterior cruciate ligament of left knee, Other spontaneous disruption of medial collateral ligament of right knee, Other spontaneous disruption of medial collateral ligament of left knee, Other spontaneous disruption of lateral collateral ligament of right knee, Other spontaneous disruption of lateral collateral ligament of left knee, Other spontaneous disruption of capsular ligament of right knee, Other spontaneous disruption of capsular ligament of left knee, Other internal derangements of right knee, Unspecified internal derangement of right knee, Unspecified internal derangement of left knee, Spontaneous rupture of extensor tendons, right thigh, Spontaneous rupture of extensor tendons, left thigh, Spontaneous rupture of extensor tendons, right lower leg, Spontaneous rupture of extensor tendons, left lower leg, Age-related osteoporosis with current pathological fracture, right femur, initial encounter for fracture - Age-related osteoporosis with current pathological fracture, left femur, sequela, 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, Other osteoporosis with current pathological fracture, right femur, initial encounter for fracture - Other osteoporosis with current pathological fracture, left femur, sequela, Other osteoporosis with current pathological fracture, right lower leg, initial encounter for fracture - Other osteoporosis with current pathological fracture, left lower leg, sequela, Stress fracture, right femur, initial encounter for fracture - Stress fracture, left femur, sequela, Stress fracture, right tibia, initial encounter for fracture - Stress fracture, left fibula, sequela, Pathological fracture, right femur, initial encounter for fracture - Pathological fracture, left femur, sequela, Pathological fracture, right tibia, initial encounter for fracture - Pathological fracture, left fibula, sequela, Pathological fracture in neoplastic disease, right femur, initial encounter for fracture - Pathological fracture in neoplastic disease, left femur, sequela, Pathological fracture in neoplastic disease, right tibia, initial encounter for fracture - Pathological fracture in neoplastic disease, left fibula, sequela, Pathological fracture in other disease, right femur, initial encounter for fracture - Pathological fracture in other disease, left femur, sequela, Pathological fracture in other disease, right tibia, initial encounter for fracture - Pathological fracture in other disease, left fibula, sequela, Idiopathic aseptic necrosis of right tibia, Idiopathic aseptic necrosis of left tibia, Idiopathic aseptic necrosis of right fibula, Idiopathic aseptic necrosis of left fibula, Osteonecrosis due to previous trauma, right tibia, Osteonecrosis due to previous trauma, left tibia, Osteonecrosis due to previous trauma, right fibula, Osteonecrosis due to previous trauma, left fibula, Other secondary osteonecrosis, right tibia, Other secondary osteonecrosis, left tibia, Other secondary osteonecrosis, right fibula, Other secondary osteonecrosis, left fibula, Osteonecrosis in diseases classified elsewhere, right lower leg, Osteonecrosis in diseases classified elsewhere, left lower leg, Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg, Fracture of femur following insertion of orthopedic implant, joint prosthesis, or bone plate, left leg, Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, right leg, Fracture of tibia or fibula following insertion of orthopedic implant, joint prosthesis, or bone plate, left leg, Fracture of unspecified part of neck of right femur, initial encounter for closed fracture - Fracture of unspecified part of neck of left femur, sequela, Unspecified intracapsular fracture of right femur, initial encounter for closed fracture - Unspecified intracapsular fracture of left femur, sequela, Displaced fracture of epiphysis (separation) (upper) of right femur, initial encounter for closed fracture - Displaced fracture of epiphysis (separation) (upper) of left femur, sequela, Nondisplaced fracture of epiphysis (separation) (upper) of right femur, initial encounter for closed fracture - Nondisplaced fracture of epiphysis (separation) (upper) of left femur, sequela, Displaced midcervical fracture of right femur, initial encounter for closed fracture - Displaced midcervical fracture of left femur, sequela, Nondisplaced midcervical fracture of right femur, initial encounter for closed fracture - Nondisplaced midcervical fracture of left femur, sequela, Displaced fracture of base of neck of right femur, initial encounter for closed fracture - Displaced fracture of base of neck of left femur, sequela, Nondisplaced fracture of base of neck of right femur, initial encounter for closed fracture - Nondisplaced fracture of base of neck of left femur, sequela, Unspecified fracture of head of right femur, initial encounter for closed fracture - Unspecified fracture of head of left femur, sequela, Displaced articular fracture of head of right femur, initial encounter for closed fracture - Displaced articular fracture of head of left femur, sequela, Nondisplaced articular fracture of head of right femur, initial encounter for closed fracture - Nondisplaced articular fracture of head of left femur, sequela, Other fracture of head and neck of right femur, initial encounter for closed fracture - Other fracture of head and neck of left femur, sequela, Unspecified trochanteric fracture of right femur, initial encounter for closed fracture - Unspecified trochanteric fracture of left femur, sequela, Displaced fracture of greater trochanter of right femur, initial encounter for closed fracture - Displaced fracture of greater trochanter of left femur, sequela, Nondisplaced fracture of greater trochanter of right femur, initial encounter for closed fracture - Nondisplaced fracture of greater trochanter of left femur, sequela, Displaced fracture of lesser trochanter of right femur, initial encounter for closed fracture - Displaced fracture of lesser trochanter of left femur, sequela, Nondisplaced fracture of lesser trochanter of right femur, initial encounter for closed fracture - Nondisplaced fracture of lesser trochanter of left femur, sequela, Displaced apophyseal fracture of right femur, initial encounter for closed fracture - Displaced apophyseal fracture of left femur, sequela, Nondisplaced apophyseal fracture of right femur, initial encounter for closed fracture - Nondisplaced apophyseal fracture of left femur, sequela, Displaced intertrochanteric fracture of right femur, initial encounter for closed fracture - Displaced intertrochanteric fracture of left femur, sequela, Nondisplaced intertrochanteric fracture of right femur, initial encounter for closed fracture - Nondisplaced intertrochanteric fracture of left femur, sequela, Displaced subtrochanteric fracture of right femur, initial encounter for closed fracture - Displaced subtrochanteric fracture of left femur, sequela, Nondisplaced subtrochanteric fracture of right femur, initial encounter for closed fracture - Nondisplaced subtrochanteric fracture of left femur, sequela, Unspecified fracture of shaft of right femur, initial encounter for closed fracture - Unspecified fracture of shaft of left femur, sequela, Displaced transverse fracture of shaft of right femur, initial encounter for closed fracture - Displaced transverse fracture of shaft of left femur, sequela, Nondisplaced transverse fracture of shaft of right femur, initial encounter for closed fracture - Nondisplaced transverse fracture of shaft of left femur, sequela, Displaced oblique fracture of shaft of right femur, initial encounter for closed fracture - Displaced oblique fracture of shaft of left femur, sequela, Nondisplaced oblique fracture of shaft of right femur, initial encounter for closed fracture - Nondisplaced oblique fracture of shaft of left femur, sequela, Displaced spiral fracture of shaft of right femur, initial encounter for closed fracture - Displaced spiral fracture of shaft of left femur, sequela, Nondisplaced spiral fracture of shaft of right femur, initial encounter for closed fracture - Nondisplaced spiral fracture of shaft of left femur, sequela, Displaced comminuted fracture of shaft of right femur, initial encounter for closed fracture - Displaced comminuted fracture of shaft of left femur, sequela, Nondisplaced comminuted fracture of shaft of right femur, initial encounter for closed fracture - Nondisplaced comminuted fracture of shaft of left femur, sequela, Displaced segmental fracture of shaft of right femur, initial encounter for closed fracture - Displaced segmental fracture of shaft of left femur, sequela, Nondisplaced segmental fracture of shaft of right femur, initial encounter for closed fracture - Nondisplaced segmental fracture of shaft of left femur, sequela, Other fracture of shaft of right femur, initial encounter for closed fracture - Other fracture of shaft of left femur, sequela, Unspecified fracture of lower end of right femur, initial encounter for closed fracture - Unspecified fracture of lower end of left femur, sequela, 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, 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, Displaced fracture of lateral condyle of right femur, initial encounter for closed fracture - Displaced fracture of lateral condyle of left femur, sequela, Nondisplaced fracture of lateral condyle of right femur, initial encounter for closed fracture - Nondisplaced fracture of lateral condyle of left femur, sequela, Displaced fracture of medial condyle of right femur, initial encounter for closed fracture - Displaced fracture of medial condyle of left femur, sequela, Nondisplaced fracture of medial condyle of right femur, initial encounter for closed fracture - Nondisplaced fracture of medial condyle of left femur, sequela, Displaced fracture of lower epiphysis (separation) of right femur, initial encounter for closed fracture - Displaced fracture of lower epiphysis (separation) of left femur, sequela, Nondisplaced fracture of lower epiphysis (separation) of right femur, initial encounter for closed fracture - Nondisplaced fracture of lower epiphysis (separation) of left femur, sequela, 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, 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, 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, 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, Torus fracture of lower end of right femur, initial encounter for closed fracture - Torus fracture of lower end of left femur, sequela, Other fracture of lower end of right femur, initial encounter for closed fracture - Other fracture of lower end of left femur, sequela, Other fracture of right femur, initial encounter for closed fracture - Other fracture of left femur, sequela, Unspecified fracture of right femur, initial encounter for closed fracture - Unspecified fracture of left femur, sequela, Strain of right quadriceps muscle, fascia and tendon, initial encounter, Strain of right quadriceps muscle, fascia and tendon, subsequent encounter, Strain of right quadriceps muscle, fascia and tendon, sequela, Strain of left quadriceps muscle, fascia and tendon, initial encounter, Strain of left quadriceps muscle, fascia and tendon, subsequent encounter, Strain of left quadriceps muscle, fascia and tendon, sequela, Laceration of right quadriceps muscle, fascia and tendon, initial encounter, Laceration of right quadriceps muscle, fascia and tendon, subsequent encounter, Laceration of right quadriceps muscle, fascia and tendon, sequela, Laceration of left quadriceps muscle, fascia and tendon, initial encounter, Laceration of left quadriceps muscle, fascia and tendon, subsequent encounter, Laceration of left quadriceps muscle, fascia and tendon, sequela, Unspecified physeal fracture of upper end of right femur, initial encounter for closed fracture - Unspecified physeal fracture of upper end of left femur, sequela, 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, Other physeal fracture of upper end of right femur, initial encounter for closed fracture - Other physeal fracture of upper end of left femur, sequela, Unspecified physeal fracture of lower end of right femur, initial encounter for closed fracture - Unspecified physeal fracture of lower end of left femur, sequela, 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, 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, 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, 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, Other physeal fracture of lower end of right femur, initial encounter for closed fracture - Other physeal fracture of lower end of left femur, sequela, Unspecified fracture of right patella, initial encounter for closed fracture - Unspecified fracture of left patella, sequela, Displaced osteochondral fracture of right patella, initial encounter for closed fracture - Displaced osteochondral fracture of left patella, sequela, Nondisplaced osteochondral fracture of right patella, initial encounter for closed fracture - Nondisplaced osteochondral fracture of left patella, sequela, Displaced longitudinal fracture of right patella, initial encounter for closed fracture - Displaced longitudinal fracture of left patella, sequela, Nondisplaced longitudinal fracture of right patella, initial encounter for closed fracture - Nondisplaced longitudinal fracture of left patella, sequela, Displaced transverse fracture of right patella, initial encounter for closed fracture - Displaced transverse fracture of left patella, sequela, Nondisplaced transverse fracture of right patella, initial encounter for closed fracture - Nondisplaced transverse fracture of left patella, sequela, Displaced comminuted fracture of right patella, initial encounter for closed fracture - Displaced comminuted fracture of left patella, sequela, Nondisplaced comminuted fracture of right patella, initial encounter for closed fracture - Nondisplaced comminuted fracture of left patella, sequela, Other fracture of right patella, initial encounter for closed fracture - Other fracture of left patella, sequela, Unspecified fracture of upper end of right tibia, initial encounter for closed fracture - Unspecified fracture of upper end of left tibia, sequela, Displaced fracture of right tibial spine, initial encounter for closed fracture - Displaced fracture of left tibial spine, sequela, Nondisplaced fracture of right tibial spine, initial encounter for closed fracture - Nondisplaced fracture of left tibial spine, sequela, Displaced fracture of lateral condyle of right tibia, initial encounter for closed fracture - Displaced fracture of lateral condyle of left tibia, sequela, Nondisplaced fracture of lateral condyle of right tibia, initial encounter for closed fracture - Nondisplaced fracture of lateral condyle of left tibia, sequela, Displaced fracture of medial condyle of right tibia, initial encounter for closed fracture - Displaced fracture of medial condyle of left tibia, sequela, Nondisplaced fracture of medial condyle of right tibia, initial encounter for closed fracture - Nondisplaced fracture of medial condyle of left tibia, sequela, Displaced bicondylar fracture of right tibia, initial encounter for closed fracture - Displaced bicondylar fracture of left tibia, sequela, Nondisplaced bicondylar fracture of right tibia, initial encounter for closed fracture - Nondisplaced bicondylar fracture of left tibia, sequela, Displaced fracture of right tibial tuberosity, initial encounter for closed fracture - Displaced fracture of left tibial tuberosity, sequela, Nondisplaced fracture of right tibial tuberosity, initial encounter for closed fracture - Nondisplaced fracture of left tibial tuberosity, sequela, Torus fracture of upper end of right tibia, initial encounter for closed fracture - Torus fracture of upper end of left tibia, sequela, Other fracture of upper end of right tibia, initial encounter for closed fracture - Other fracture of upper end of left tibia, sequela, Unspecified fracture of shaft of right tibia, initial encounter for closed fracture - Unspecified fracture of shaft of left tibia, sequela, Displaced transverse fracture of shaft of right tibia, initial encounter for closed fracture - Displaced transverse fracture of shaft of left tibia, sequela, Nondisplaced transverse fracture of shaft of right tibia, initial encounter for closed fracture - Nondisplaced transverse fracture of shaft of left tibia, sequela, Displaced oblique fracture of shaft of right tibia, initial encounter for closed fracture - Displaced oblique fracture of shaft of left tibia, sequela, Nondisplaced oblique fracture of shaft of right tibia, initial encounter for closed fracture - Nondisplaced oblique fracture of shaft of left tibia, sequela, Displaced spiral fracture of shaft of right tibia, initial encounter for closed fracture - Displaced spiral fracture of shaft of left tibia, sequela, Nondisplaced spiral fracture of shaft of right tibia, initial encounter for closed fracture - Nondisplaced spiral fracture of shaft of left tibia, sequela, Displaced comminuted fracture of shaft of right tibia, initial encounter for closed fracture - Displaced comminuted fracture of shaft of left tibia, sequela, Nondisplaced comminuted fracture of shaft of right tibia, initial encounter for closed fracture - Nondisplaced comminuted fracture of shaft of left tibia, sequela, Displaced segmental fracture of shaft of right tibia, initial encounter for closed fracture - Displaced segmental fracture of shaft of left tibia, sequela, Nondisplaced segmental fracture of shaft of right tibia, initial encounter for closed fracture - Nondisplaced segmental fracture of shaft of left tibia, sequela, Other fracture of shaft of right tibia, initial encounter for closed fracture - Other fracture of shaft of left tibia, sequela, Unspecified fracture of lower end of right tibia, initial encounter for closed fracture - Unspecified fracture of lower end of left tibia, sequela, Torus fracture of lower end of right tibia, initial encounter for closed fracture - Torus fracture of lower end of left tibia, sequela, Other fracture of lower end of right tibia, initial encounter for closed fracture - Other fracture of lower end of left tibia, sequela, Unspecified fracture of shaft of right fibula, initial encounter for closed fracture - Unspecified fracture of shaft of left fibula, sequela, Displaced transverse fracture of shaft of right fibula, initial encounter for closed fracture - Displaced transverse fracture of shaft of left fibula, sequela, Nondisplaced transverse fracture of shaft of right fibula, initial encounter for closed fracture - Nondisplaced transverse fracture of shaft of left fibula, sequela, Displaced oblique fracture of shaft of right fibula, initial encounter for closed fracture - Displaced oblique fracture of shaft of left fibula, sequela, Nondisplaced oblique fracture of shaft of right fibula, initial encounter for closed fracture - Nondisplaced oblique fracture of shaft of left fibula, sequela, Displaced spiral fracture of shaft of right fibula, initial encounter for closed fracture - Displaced spiral fracture of shaft of left fibula, sequela, Nondisplaced spiral fracture of shaft of right fibula, initial encounter for closed fracture - Nondisplaced spiral fracture of shaft of left fibula, sequela, Displaced comminuted fracture of shaft of right fibula, initial encounter for closed fracture - Displaced comminuted fracture of shaft of left fibula, sequela, Nondisplaced comminuted fracture of shaft of right fibula, initial encounter for closed fracture - Nondisplaced comminuted fracture of shaft of left fibula, sequela, Displaced segmental fracture of shaft of right fibula, initial encounter for closed fracture - Displaced segmental fracture of shaft of left fibula, sequela, Nondisplaced segmental fracture of shaft of right fibula, initial encounter for closed fracture - Nondisplaced segmental fracture of shaft of left fibula, sequela, Other fracture of shaft of right fibula, initial encounter for closed fracture - Other fracture of shaft of left fibula, sequela, Displaced fracture of medial malleolus of right tibia, initial encounter for closed fracture - Displaced fracture of medial malleolus of left tibia, sequela, Nondisplaced fracture of medial malleolus of right tibia, initial encounter for closed fracture - Nondisplaced fracture of medial malleolus of left tibia, sequela, Displaced fracture of lateral malleolus of right fibula, initial encounter for closed fracture - Displaced fracture of lateral malleolus of left fibula, sequela, Nondisplaced fracture of lateral malleolus of right fibula, initial encounter for closed fracture - Nondisplaced fracture of lateral malleolus of left fibula, sequela, Torus fracture of upper end of right fibula, initial encounter for closed fracture - Torus fracture of upper end of left fibula, sequela, Torus fracture of lower end of right fibula, initial encounter for closed fracture - Torus fracture of lower end of left fibula, sequela, 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, Displaced bimalleolar fracture of right lower leg, initial encounter for closed fracture - Displaced bimalleolar fracture of left lower leg, sequela, Nondisplaced bimalleolar fracture of right lower leg, initial encounter for closed fracture - Nondisplaced bimalleolar fracture of left lower leg, sequela, Displaced trimalleolar fracture of right lower leg, initial encounter for closed fracture - Displaced trimalleolar fracture of left lower leg, sequela, Nondisplaced trimalleolar fracture of right lower leg, initial encounter for closed fracture - Nondisplaced trimalleolar fracture of left lower leg, sequela, Displaced Maisonneuve's fracture of right leg, initial encounter for closed fracture - Displaced Maisonneuve's fracture of left leg, sequela, Nondisplaced Maisonneuve's fracture of right leg, initial encounter for closed fracture - Nondisplaced Maisonneuve's fracture of left leg, sequela, Displaced pilon fracture of right tibia, initial encounter for closed fracture - Displaced pilon fracture of left tibia, sequela, Nondisplaced pilon fracture of right tibia, initial encounter for closed fracture - Nondisplaced pilon fracture of left tibia, sequela, Other fracture of right lower leg, initial encounter for closed fracture - Other fracture of left lower leg, sequela, Unspecified fracture of right lower leg, initial encounter for closed fracture - Unspecified fracture of left lower leg, sequela, Unspecified subluxation of right patella, initial encounter - Unspecified subluxation of left patella, sequela, Unspecified dislocation of right patella, initial encounter - Unspecified dislocation of left patella, sequela, Lateral subluxation of right patella, initial encounter - Lateral subluxation of left patella, sequela, Lateral dislocation of right patella, initial encounter - Lateral dislocation of left patella, sequela, Other subluxation of right patella, initial encounter - Other subluxation of left patella, sequela, Other dislocation of right patella, initial encounter - Other dislocation of left patella, sequela, Unspecified subluxation of right knee, initial encounter - Unspecified subluxation of left knee, sequela, Unspecified dislocation of right knee, initial encounter - Unspecified dislocation of left knee, sequela, Anterior subluxation of proximal end of tibia, right knee, initial encounter - Anterior subluxation of proximal end of tibia, left knee, sequela, Anterior dislocation of proximal end of tibia, right knee, initial encounter - Anterior dislocation of proximal end of tibia, left knee, sequela, Posterior subluxation of proximal end of tibia, right knee, initial encounter - Posterior subluxation of proximal end of tibia, left knee, sequela, Posterior dislocation of proximal end of tibia, right knee, initial encounter - Posterior dislocation of proximal end of tibia, left knee, sequela, Medial subluxation of proximal end of tibia, right knee, initial encounter - Medial subluxation of proximal end of tibia, left knee, sequela, Medial dislocation of proximal end of tibia, right knee, initial encounter - Medial dislocation of proximal end of tibia, left knee, sequela, Lateral subluxation of proximal end of tibia, right knee, initial encounter - Lateral subluxation of proximal end of tibia, left knee, sequela, Lateral dislocation of proximal end of tibia, right knee, initial encounter - Lateral dislocation of proximal end of tibia, left knee, sequela, Other subluxation of right knee, initial encounter - Other subluxation of left knee, sequela, Other dislocation of right knee, initial encounter - Other dislocation of left knee, sequela, Bucket-handle tear of unspecified meniscus, current injury, right knee, initial encounter - Bucket-handle tear of unspecified meniscus, current injury, left knee, sequela, Other tear of unspecified meniscus, current injury, right knee, initial encounter - Other tear of unspecified meniscus, current injury, left knee, sequela, Unspecified tear of unspecified meniscus, current injury, right knee, initial encounter - Unspecified tear of unspecified meniscus, current injury, left knee, sequela, Bucket-handle tear of medial meniscus, current injury, right knee, initial encounter - Bucket-handle tear of medial meniscus, current injury, left knee, sequela, Peripheral tear of medial meniscus, current injury, right knee, initial encounter - Peripheral tear of medial meniscus, current injury, left knee, initial encounter, Complex tear of medial meniscus, current injury, right knee, initial encounter - Complex tear of medial meniscus, current injury, left knee, sequela, Other tear of medial meniscus, current injury, right knee, initial encounter - Other tear of medial meniscus, current injury, left knee, sequela, Bucket-handle tear of lateral meniscus, current injury, right knee, initial encounter - Bucket-handle tear of lateral meniscus, current injury, left knee, sequela, Peripheral tear of lateral meniscus, current injury, right knee, initial encounter - Peripheral tear of lateral meniscus, current injury, left knee, sequela, Complex tear of lateral meniscus, current injury, right knee, initial encounter - Complex tear of lateral meniscus, current injury, left knee, sequela, Other tear of lateral meniscus, current injury, right knee, initial encounter - Other tear of lateral meniscus, current injury, left knee, sequela, Tear of articular cartilage of right knee, current, initial encounter - Tear of articular cartilage of left knee, current, sequela, Sprain of unspecified collateral ligament of right knee, initial encounter - Sprain of unspecified collateral ligament of left knee, sequela, Sprain of medial collateral ligament of right knee, initial encounter - Sprain of medial collateral ligament of left knee, sequela, Sprain of lateral collateral ligament of right knee, initial encounter - Sprain of lateral collateral ligament of left knee, sequela, Sprain of unspecified cruciate ligament of right knee, initial encounter - Sprain of unspecified cruciate ligament of left knee, sequela, Sprain of anterior cruciate ligament of right knee, initial encounter - Sprain of anterior cruciate ligament of left knee, sequela, Sprain of posterior cruciate ligament of right knee, initial encounter - Sprain of posterior cruciate ligament of left knee, sequela, Sprain of other specified parts of right knee, initial encounter - Sprain of other specified parts of left knee, sequela, 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, 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, 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, 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, Unspecified physeal fracture of upper end of right tibia, initial encounter for closed fracture - Unspecified physeal fracture of upper end of left tibia, sequela, 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, 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, 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, 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, Other physeal fracture of upper end of right tibia, initial encounter for closed fracture - Other physeal fracture of upper end of left tibia, sequela, Unspecified physeal fracture of lower end of right tibia, initial encounter for closed fracture - Unspecified physeal fracture of lower end of left tibia, sequela, 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, 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, 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, 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, Other physeal fracture of lower end of right tibia, initial encounter for closed fracture - Other physeal fracture of lower end of left tibia, sequela, Unspecified physeal fracture of upper end of right fibula, initial encounter for closed fracture - Unspecified physeal fracture of upper end of left fibula, sequela, 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, 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, Other physeal fracture of upper end of right fibula, initial encounter for closed fracture - Other physeal fracture of upper end of left fibula, sequela, Unspecified physeal fracture of lower end of right fibula, initial encounter for closed fracture - Unspecified physeal fracture of lower end of left fibula, sequela, 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, 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, Other physeal fracture of lower end of right fibula, initial encounter for closed fracture - Other physeal fracture of lower end of left fibula, sequela, Broken internal right knee prosthesis, initial encounter - Broken internal left knee prosthesis, sequela, Instability of internal right knee prosthesis, initial encounter - Instability of internal left knee prosthesis, sequela, Mechanical loosening of internal right knee prosthetic joint, initial encounter - Mechanical loosening of internal left knee prosthetic joint, sequela, Periprosthetic osteolysis of internal prosthetic right knee joint, initial encounter - Periprosthetic osteolysis of internal prosthetic left knee joint, sequela, 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, Other mechanical complication of internal right knee prosthesis, initial encounter - Other mechanical complication of internal left knee prosthesis, sequela, Breakdown (mechanical) of internal fixation device of right femur, initial encounter - Breakdown (mechanical) of internal fixation device of bone of left lower leg, sequela, Displacement of internal fixation device of right femur, initial encounter - Displacement of internal fixation device of bone of left lower leg, sequela, 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, Breakdown (mechanical) of muscle and tendon graft, initial encounter - Breakdown (mechanical) of muscle and tendon graft, sequela, Displacement of muscle and tendon graft, initial encounter - Displacement of muscle and tendon graft, sequela, 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, Infection and inflammatory reaction due to internal right knee prosthesis, initial encounter - Infection and inflammatory reaction due to internal left knee prosthesis, sequela, Embolism due to internal orthopedic prosthetic devices, implants and grafts, initial encounter - Other specified complication of internal orthopedic prosthetic devices, implants and grafts, sequela, Presence of right artificial knee joint - Presence of artificial knee joint, bilateral, Lesion of sciatic nerve, right lower limb, Lesion of sciatic nerve, bilateral lower limbs, Lesion of femoral nerve, right lower limb, Lesion of femoral nerve, bilateral lower limbs, Hemiplegia, unspecified affecting right dominant side - Hemiplegia, unspecified affecting left nondominant side, Paraplegia, unspecified - Paraplegia, incomplete, Other specified acquired deformities of right lower leg, Other specified acquired deformities of left lower leg.