Juvenile osteochondrosis of tibia tubercle, bilateral

This code signifies Osgood-Schlatter disease affecting both knees. It is a painful inflammation of the growth plate at the top of the shin bone where the patellar tendon attaches, typically seen in active adolescents during growth spurts. This condition results from repetitive stress and microtrauma to the tibial tuberosity.

Apply this code when documentation explicitly states bilateral juvenile osteochondrosis of the tibia tubercle. This diagnosis is commonly made based on clinical presentation of localized pain, swelling, and tenderness at the tibial tuberosity in an adolescent, often confirmed by imaging showing fragmentation or irregularity of the apophysis.

• Ensure documentation specifies "bilateral" involvement; otherwise, use the appropriate unilateral code.
• Distinguish from other causes of knee pain in adolescents, such as patellofemoral pain syndrome or Sinding-Larsen-Johansson disease.
• This is a diagnosis code; no procedure code is directly associated, but treatment codes (e.g., physical therapy) may be reported concurrently.