S83.31XD ICD-10-CM Code: Tear of articular cartilage of right knee, current, subsequent encounter
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- 7th character
- Required — see the character table on this page
- Tabular directives
- 7 inclusion terms · 11 Excludes2 · 1 code-also instruction
Inpatient Payment Groups (MS-DRG)
Potential MS-DRG participation — not a DRG assignment.
MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.
- MS-DRG 949 — AFTERCARE WITH CC/MCC (MDC 23)
- MS-DRG 950 — AFTERCARE WITHOUT CC/MCC (MDC 23)
A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for S83.31XD in the official ICD-10-CM tabular list.
Notes without a marker are published on S83.31XD itself; “inherited from” names the category or block whose note applies here.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- 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
- traumatic rupture of joint or ligament of knee
- traumatic subluxation of joint or ligament of knee
- traumatic tear of joint or ligament of knee
Source: inherited from S83
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- derangement of patella (M22.0-M22.3) inherited from S83Compare S83.31XD vs M22.0 →
- injury of patellar ligament (tendon) (S76.1-) inherited from S83Compare S83.31XD vs S76.1 →
- internal derangement of knee (M23.-) inherited from S83Compare S83.31XD vs M23 →
- old dislocation of knee (M24.36) inherited from S83Compare S83.31XD vs M24.36 →
- pathological dislocation of knee (M24.36) inherited from S83Compare S83.31XD vs M24.36 →
- recurrent dislocation of knee (M22.0) inherited from S83Compare S83.31XD vs M22.0 →
- strain of muscle, fascia and tendon of lower leg (S86.-) inherited from S83Compare S83.31XD vs S86 →
- burns and corrosions (T20-T32) inherited from S80-S89Compare S83.31XD vs T20 →
- frostbite (T33-T34) inherited from S80-S89Compare S83.31XD vs T33 →
- injuries of ankle and foot, except fracture of ankle and malleolus (S90-S99) inherited from S80-S89Compare S83.31XD vs S90 →
- insect bite or sting, venomous (T63.4) inherited from S80-S89Compare S83.31XD vs T63.4 →
Code Also
Additional codes that may be required to fully describe the encounter.
- any associated open wound
Source: inherited from S83
7th Character Guide
"The appropriate 7th character is to be added to each code from category S83"
- A — initial encounter
- D — subsequent encounter (this page’s code)
- S — sequela
How the encounter character is assigned. “Initial encounter” means the patient is receiving active treatment for the condition — it is not limited to the first visit, and a different or new provider giving active treatment still assigns it. “Subsequent encounter” covers care during the healing or recovery phase after active treatment. “Sequela” is for complications or conditions that arise as a direct result of the original condition.
ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.19.a (paraphrased by MedCoder).
Variant codes in this family
Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionTear of articular cartilage of right knee, current, subsequent encounter
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Decision Points
The directives on this code's own record, as a pre-claim checklist.
- A 7th character applies in this family. Confirm the documented encounter matches the character assigned. See the official 7th-character definitions and this code’s variants
- Laterality is coded in this family. Confirm the documented side matches the code — the opposite-side siblings are in the relationships section. See the opposite-side sibling codes
- 1 Code Also note — a second code may apply; the guidelines leave its sequencing to the circumstances of the encounter. See the Code Also notes
- 11 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes
Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.
Verify Before Coding
- No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
Other codes that name S83.31XD or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 2 Excludes2 notes across 2 chapters: M23 — Internal derangement of knee (via S83.-), S86 — Injury of muscle, fascia and tendon at lower leg level (via S83.-).
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
MS-DRG Grouper Relationships (FY2026)
Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.
Potential MS-DRG participation — not a DRG assignment.
Named in the grouper logic of 2 MS-DRGs: DRG 949 (MDC 23), DRG 950 (MDC 23).
From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.
Clinical classification (AHRQ CCSR):INJ061 — Sprains and strains, subsequent encounter (default).
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same condition, opposite side
Same category and title, differing only in which side of the body is affected.
S83.30XD — Tear of articular cartilage of unspecified knee, current, subsequent encounter (unspecified)Compare S83.31XD vs S83.30XD →, S83.32XD — Tear of articular cartilage of left knee, current, subsequent encounter (left)Compare S83.31XD vs S83.32XD →
Same injury, other encounter phase
Same injury, coded at a different phase of treatment via the 7th character.
S83.31XA — Tear of articular cartilage of right knee, current, initial encounterCompare S83.31XD vs S83.31XA →, S83.31XS — Tear of articular cartilage of right knee, current, sequela
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Sprains and strains, subsequent encounter).
Same Index main term, other category
The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Rupture, ruptured”, “Tear, torn”; these codes share that main term but sit in a different category of the Tabular List.
S37.19 — Other injury of ureter (ureter), S37.29 — Other injury of bladder (bladder, traumatic), S37.39 — Other injury of urethra (urethra, traumatic), S37.69 — Other injury of uterus (uterus), S37.828 — Other injury of prostate (prostate), S43.42 — Sprain of rotator cuff capsule (rotator cuff, traumatic, capsule), S46.01 — Strain of muscle(s) and tendon(s) of the rotator cuff of shoulder (rotator cuff, traumatic), S53.2 — Traumatic rupture of radial collateral ligament (traumatic, ligament, radial collateral), S53.3 — Traumatic rupture of ulnar collateral ligament (traumatic, ligament, ulnar collateral), S63.30 — Traumatic rupture of unspecified ligament of wrist (traumatic, ligament, wrist), S63.31 — Traumatic rupture of collateral ligament of wrist (traumatic, ligament, wrist, collateral), S63.32 — Traumatic rupture of radiocarpal ligament (traumatic, ligament, wrist, radiocarpal), S63.33 — Traumatic rupture of ulnocarpal (palmar) ligament (traumatic, ligament, wrist, ulnocarpal), S63.39 — Traumatic rupture of other ligament of wrist (traumatic, ligament, wrist, specified site NEC), S63.40 — Traumatic rupture of unspecified ligament of finger at metacarpophalangeal and interphalangeal joint (traumatic, ligament, finger), S63.41 — Traumatic rupture of collateral ligament of finger at metacarpophalangeal and interphalangeal joint (traumatic, ligament, finger, collateral), S63.42 — Traumatic rupture of palmar ligament of finger at metacarpophalangeal and interphalangeal joint (traumatic, ligament, finger, palmar), S63.43 — Traumatic rupture of volar plate of finger at metacarpophalangeal and interphalangeal joint (traumatic, ligament, finger, volar plate), S63.49 — Traumatic rupture of other ligament of finger at metacarpophalangeal and interphalangeal joint (traumatic, ligament, finger, specified site NEC, ring), S63.499 — Traumatic rupture of other ligament of unspecified finger at metacarpophalangeal and interphalangeal joint (traumatic, ligament, finger, specified site NEC), +162 more
Contextual Map
Every relationship of S83.31XD in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- S00-T88 — Chapter 19: Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88) (S00-T88)[Hierarchy]
- S80-S89 — Injuries to the knee and lower leg[Hierarchy]
Referenced by Excludes2 notes
- M23 — Internal derangement of knee[Excludes2](via S83.-): “current injury - see injury of knee and lower leg (S80-S89)” · Check S83.31XD + M23 together
- S86 — Injury of muscle, fascia and tendon at lower leg level[Excludes2](via S83.-): “sprain of joints and ligaments of knee (S83.-)” · Check S83.31XD + S86 together
Clinical classification (CCSR)
MS-DRG Grouper
- DRG 949 — AFTERCARE WITH CC/MCC[MS-DRG]: “AFTERCARE WITH CC/MCC (MDC 23)”
- DRG 950 — AFTERCARE WITHOUT CC/MCC[MS-DRG]: “AFTERCARE WITHOUT CC/MCC (MDC 23)”
MDC crossing
- MDC 23 — Factors Influencing Health Status and Other Contacts with Health Services[MDC crossing]: “Factors Influencing Health Status and Other Contacts with Health Services — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 1,235 same-MDC procedures group here; browse them on the MDC page.”
Nearest codes (40)
- S83 — Dislocation and sprain of joints and ligaments of knee[Sibling]
- S83.28 — Other tear of lateral meniscus, current injury[Sibling]
- S83.281 — Other tear of lateral meniscus, current injury, right knee[Sibling]
- S83.281A — Other tear of lateral meniscus, current injury, right knee, initial encounter[Sibling]
- S83.281D — Other tear of lateral meniscus, current injury, right knee, subsequent encounter[Sibling]
- S83.281S — Other tear of lateral meniscus, current injury, right knee, sequela[Sibling]
- S83.282 — Other tear of lateral meniscus, current injury, left knee[Sibling]
- S83.282A — Other tear of lateral meniscus, current injury, left knee, initial encounter[Sibling]
- and 32 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]
Frequently Asked Questions (FAQ) & Clinical Guidance
Does S83.31XD require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category S83.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to S83.31XD in its code family, with their registry titles.
- S83.30XA — Tear of articular cartilage of unspecified knee, current, initial encounter
- S83.30XD — Tear of articular cartilage of unspecified knee, current, subsequent encounter
- S83.30XS — Tear of articular cartilage of unspecified knee, current, sequela
- S83.31 — Tear of articular cartilage of right knee, current
- S83.31XA — Tear of articular cartilage of right knee, current, initial encounter
- S83.31XS — Tear of articular cartilage of right knee, current, sequela
- S83.32 — Tear of articular cartilage of left knee, current
- S83.32XA — Tear of articular cartilage of left knee, current, initial encounter
- S83.32XD — Tear of articular cartilage of left knee, current, subsequent encounter
- S83.32XS — Tear of articular cartilage of left knee, current, sequela