DJD ICD 10, also known as Osteoarthritis (OA), is a condition characterized by the breakdown of cartilage in the joints, leading to pain, stiffness, and reduced mobility. It's the most common type of arthritis, affecting millions of people worldwide. In the ICD-10 (International Classification of Diseases, 10th Edition) coding system, DJD/Osteoarthritis has several specific codes depending on the location and severity of the disease.

ICD-10 Codes for Degenerative Joint Disease (DJD)

The DJD ICD 10 for osteoarthritis or degenerative joint disease depends on the joint affected and its severity. Here are some of the common codes used to document DJD:

1. M15 - Polyosteoarthritis (Generalized Osteoarthritis)

• M15.0 – Primary generalized osteoarthritis (multiple joints affected)

• M15.1 – Secondary generalized osteoarthritis (e.g., after trauma or infection)

• M15.8 – Other specified generalized osteoarthritis

• M15.9 – Generalized osteoarthritis, unspecified

2. M17 - Osteoarthritis of the Knee

• M17.0 – Bilateral primary osteoarthritis of the knee

• M17.1 – Unilateral primary osteoarthritis of the knee

• M17.2 – Bilateral post-traumatic osteoarthritis of the knee

• M17.3 – Unilateral post-traumatic osteoarthritis of the knee

• M17.9 – Osteoarthritis of the knee, unspecified

3. M18 - Osteoarthritis of the First Carpometacarpal Joint (Hand)

• M18.0 – Bilateral primary osteoarthritis of the first carpometacarpal joint

• M18.1 – Unilateral primary osteoarthritis of the first carpometacarpal joint

• M18.2 – Bilateral post-traumatic osteoarthritis of the first carpometacarpal joint

• M18.3 – Unilateral post-traumatic osteoarthritis of the first carpometacarpal joint

4. M19 - Other and Unspecified Osteoarthritis

• M19.0 – Primary osteoarthritis of unspecified site

• M19.1 – Post-traumatic osteoarthritis of unspecified site

• M19.2 – Secondary osteoarthritis of unspecified site

• M19.9 – Osteoarthritis, unspecified

5. M15.3 - Polyosteoarthritis, Primary (Generalized OA)

• This code is for generalized osteoarthritis involving multiple joints, such as hands, knees, hips, and spine.

6. M50 - Cervical Disc Disorders

• M50.3 – Cervical disc degeneration, including facet joint involvement

7. M47 - Spondylosis (Degenerative Spine Disease)

• M47.0 – Spondylosis with myelopathy

• M47.9 – Spondylosis, unspecified

How to Use ICD-10 Codes for DJD

When coding for DJD, it's important to accurately identify:

• The specific joint(s) involved (e.g., knee, hip, spine).

• The severity or stage of the disease (e.g., primary, secondary, post-traumatic).

• Bilateral or unilateral involvement (if applicable).

Example Scenario 1:

• Patient: A 65-year-old female with primary osteoarthritis of both knees, confirmed through imaging.

• ICD-10 Code: M17.0 – Bilateral primary osteoarthritis of the knee.

Example Scenario 2:

• Patient: A 60-year-old male with secondary osteoarthritis of the right hip following a previous injury.

• ICD-10 Code: M16.11 – Unilateral primary osteoarthritis, right hip.

Additional Information

In addition to the primary code for DJD/Osteoarthritis, it's essential to document any complications or associated conditions, such as:

• Deformities (e.g., joint deformities in OA)

• Pain (e.g., chronic pain related to osteoarthritis)

• Inflammation (e.g., synovitis)

Conclusion

DJD ICD 10 for degenerative joint disease (DJD) are used to document various forms and stages of osteoarthritis, with different codes depending on the joint involved and whether the condition is primary, secondary, or post-traumatic. Proper coding helps in accurate diagnosis, treatment planning, and insurance billing.

If you’re unsure which specific code applies to a particular case, refer to detailed clinical documentation and work closely with healthcare providers to ensure correct coding. Proper coding not only supports clinical decision-making but also facilitates insurance claims, reimbursement, and statistical analysis of health conditions.