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M67.52

Billable

Plica syndrome, left knee

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

What This Code Means

Plica syndrome affecting the left knee, causing inflammation and pain in the synovial fold.

Coding Tips

  • Confirm left knee involvement is explicitly documented; do not assume based on patient handedness
  • Consider bilateral coding if both knees are affected; use both M67.51 and M67.52

Code Hierarchy

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