T84.013A Broken internal left knee prosthesis, initial encounter

ICD10CM code

#### Name of the Condition
- Broken Internal Left Knee Prosthesis, Initial Encounter
- ICD Code: T84.013A

#### Summary
This condition refers to the failure or breakage of a prosthetic device implanted in the left knee, necessitating an initial clinical evaluation. Knee prostheses are artificial devices designed to replace a damaged knee joint.

#### Causes
Breakage can occur due to mechanical stress, wear and tear over time, or trauma. Manufacturing defects, incorrect surgical implantation, or patient activity level might also contribute.

#### Risk Factors
- Advanced age, leading to wear over time.
- High-impact activities or heavy physical labor.
- Obesity, which increases stress on the joint.
- Previous knee surgeries or chronic joint conditions. 

#### Symptoms
- Pain localized around the knee joint.
- Swelling or redness in the area.
- Reduced mobility and difficulty bearing weight on the limb.
- Audible sounds such as clicking or popping from the knee.

#### Diagnosis
- Physical examination to assess the range of motion and pain points.
- Imaging tests like X-rays or MRI to visualize the prosthesis and surrounding joint structures.

#### Treatment Options
- Revision surgery to replace or repair the broken prosthesis.
- Pain management through medications.
- Physical therapy to enhance mobility post-surgery.

#### Prognosis and Follow-Up
With timely intervention, the prognosis is generally positive, and patients can regain significant joint function. Regular follow-ups are pivotal to monitor the prosthesis and prevent further complications.

#### Complications
- Infection at the implant site.
- Osteolysis or bone resorption around the implant.
- Impaired mobility if untreated.

#### Lifestyle & Prevention
- Maintain a healthy weight to reduce joint stress.
- Engage in low-impact exercises to build strength.
- Follow post-operative rehabilitation guidelines strictly.

#### When to Seek Professional Help
Seek immediate medical attention if you experience severe pain, significant swelling, or inability to move the knee.

#### Additional Resources
- American Academy of Orthopaedic Surgeons: [aaos.org](http://www.aaos.org)
- Arthritis Foundation: [arthritis.org](http://www.arthritis.org)

#### Tips for Medical Coders
- Ensure the coding reflects the initial encounter, as indicated by the 'A' at the end of the ICD code.
- Avoid confusion with codes for subsequent encounters or other types of prosthesis complications.

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