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S83.401D vs S83.409D

S83.401D (Sprain of unspecified collateral ligament of right knee, subsequent encounter) compared with S83.409D (Sprain of unspecified collateral ligament of unspecified knee, subsequent encounter), from the official CMS tabular data. S83.401D and S83.409D code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S83.401D
Right
Sprain of unspecified collateral ligament of right knee, subsequent encounter
S83.409D
Unspecified
Sprain of unspecified collateral ligament of unspecified knee, subsequent encounter

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. S83.401D and S83.409D name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

S83.401DSprain of unspecified collateral ligament of right knee, subsequent encounterS83.409DSprain of unspecified collateral ligament of unspecified knee, subsequent encounter
Billing statusBillableBillable
ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionSprain of unspecified collateral ligament of right knee, subsequent encounter is a billable ICD-10-CM diagnosis code (S83.401D).Sprain of unspecified collateral ligament of unspecified knee, subsequent encounter is a billable ICD-10-CM diagnosis code (S83.409D).
7th characterThe appropriate 7th character is to be added to each code from category S83The appropriate 7th character is to be added to each code from category S83
Includes
avulsion of joint or ligament of knee
laceration of cartilage, joint or ligament of knee
sprain of cartilage, joint or ligament of knee
traumatic hemarthrosis of joint or ligament of knee
avulsion of joint or ligament of knee
laceration of cartilage, joint or ligament of knee
sprain of cartilage, joint or ligament of knee
traumatic hemarthrosis of joint or ligament of knee

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources