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S83.521A vs S83.522A

S83.521A (Sprain of posterior cruciate ligament of right knee, initial encounter) compared with S83.522A (Sprain of posterior cruciate ligament of left knee, initial encounter), from the official CMS tabular data. S83.521A and S83.522A code the same condition on opposite sides.

Relationship

Review

Laterality relationship

S83.521A
Right
Sprain of posterior cruciate ligament of right knee, initial encounter
S83.522A
Left
Sprain of posterior cruciate ligament of left knee, initial 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. S83.521A and S83.522A 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

S83.521ASprain of posterior cruciate ligament of right knee, initial encounterS83.522ASprain of posterior cruciate ligament of left knee, initial 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 posterior cruciate ligament of right knee, initial encounter is a billable ICD-10-CM diagnosis code (S83.521A).Sprain of posterior cruciate ligament of left knee, initial encounter is a billable ICD-10-CM diagnosis code (S83.522A).
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