ICD-10 Coding for Anterior Tibial Tendonitis(M76.891, M76.892)
Complete ICD-10-CM coding and documentation guide for Anterior Tibial Tendonitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Anterior Tibial Tendonitis
M76.89Primary Range
Other specified enthesopathies of lower limb, excluding foot
This range includes conditions affecting tendons of the lower limb, such as anterior tibial tendonitis, when specific codes are not available.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M76.891 | Other specified enthesopathies of right lower limb, excluding foot | Use when anterior tibial tendonitis is confirmed in the right leg. |
|
| M76.892 | Other specified enthesopathies of left lower limb, excluding foot | Use when anterior tibial tendonitis is confirmed in the left leg. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for anterior tibial tendonitis
Essential facts and insights about Anterior Tibial Tendonitis
Primary ICD-10-CM Codes for anterior tibial tendonitis
Decision Criteria
clinical Criteria
- Presence of pain and tenderness along the anterior tibial tendon
documentation Criteria
- Documentation must specify 'anterior tibial tendonitis' and laterality
Applicable To
- Anterior tibial tendonitis, right leg
Excludes
- Posterior tibial tendonitis (M76.821)
Clinical Validation Requirements
- Pain localized to the anterior tibial tendon
- Swelling and tenderness on palpation
- Pain with dorsiflexion/inversion
Code-Specific Risks
- Confusion with posterior tibial tendonitis coding
Coding Notes
- Ensure documentation specifies 'anterior tibial tendonitis' and laterality.
M76.892 - Other specified enthesopathies of left lower limb, excluding foot
Use when anterior tibial tendonitis is confirmed in the left leg.
Applicable To
- Anterior tibial tendonitis, left leg
Excludes
- Posterior tibial tendonitis (M76.822)
Clinical Validation Requirements
- Pain localized to the anterior tibial tendon
- Swelling and tenderness on palpation
- Pain with dorsiflexion/inversion
Coding Notes
Ensure documentation specifies 'anterior tibial tendonitis' and laterality.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Anterior Tibial Tendonitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M76.891.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with coding specificity requirements., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Educate providers on the importance of specificity., Implement documentation templates.
Impact
Reimbursement: Incorrect coding may lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Verify tendon location and ensure documentation specifies 'anterior'.
Impact
Risk of using unspecified codes due to lack of detailed documentation.
Mitigation Strategy
Ensure documentation includes specific tendon and laterality.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Anterior Tibial Tendonitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Anterior Tibial Tendonitis
Use these documentation templates to ensure complete and accurate documentation for Anterior Tibial Tendonitis. These templates include all required elements for proper coding and billing.
Podiatry Progress Note
Specialty: PodiatryRequired Elements
- Subjective: Patient's report of symptoms
- Objective: Physical exam findings
- Assessment: Diagnosis with laterality
- Plan: Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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