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M67.50

Billable

Plica syndrome, unspecified knee

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Plica syndrome is an irritation of the knee's synovial fold that causes pain and swelling without specification of which knee is affected.

Coding Tips

  • This is a non-specific code; use laterality codes M67.51 or M67.52 when the affected knee is documented
  • Plica syndrome is often associated with overuse or repetitive knee movements; document the clinical presentation

Code Hierarchy

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