Lateral disloc of proximal end of tibia, right knee, subs

This code signifies a lateral dislocation of the proximal tibia in the right knee that has been previously treated and is now being addressed in a follow-up encounter. It indicates a persistent or recurring issue with the knee joint's stability after initial management.

Apply this code for patients presenting for follow-up care of a right knee lateral proximal tibia dislocation, such as for cast changes, physical therapy, or re-evaluation of healing. It is appropriate when the initial treatment has already occurred and the patient is no longer in the acute phase of injury.

• Ensure the documentation clearly specifies "right knee" and "lateral" dislocation of the proximal tibia.
• Verify that the encounter is for subsequent care, not the initial treatment of the dislocation.
• Look for documentation of previous treatment for the same injury to confirm "subsequent encounter" status.