ICD-10 Coding for Calcaneal Spur(M77.31, M77.32, M77.30)
Complete ICD-10-CM coding and documentation guide for Calcaneal Spur. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Calcaneal Spur
M77.3Primary Range
Calcaneal spur
This range includes all codes specific to calcaneal spurs, detailing laterality and unspecified cases.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M77.31 | Calcaneal spur, right foot | Use when the calcaneal spur is confirmed on the right foot. |
|
| M77.32 | Calcaneal spur, left foot | Use when the calcaneal spur is confirmed on the left foot. |
|
| M77.30 | Calcaneal spur, unspecified foot | Use when laterality is not specified. |
|
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 calcaneal spur
Essential facts and insights about Calcaneal Spur
Primary ICD-10-CM Codes for calcaneal spur
Decision Criteria
clinical Criteria
- Presence of heel pain and radiographic evidence of spur
Applicable To
- Right heel spur
Excludes
- Plantar fasciitis (M72.2)
Clinical Validation Requirements
- Radiographic confirmation of spur
- Symptoms of heel pain
Code-Specific Risks
- Incorrect laterality documentation
Coding Notes
- Ensure laterality is documented to avoid unspecified coding.
M77.32 - Calcaneal spur, left foot
Use when the calcaneal spur is confirmed on the left foot.
Applicable To
- Left heel spur
Excludes
- Plantar fasciitis (M72.2)
Clinical Validation Requirements
- Radiographic confirmation of spur
- Symptoms of heel pain
Coding Notes
Ensure laterality is documented to avoid unspecified coding.
M77.30 - Calcaneal spur, unspecified foot
Use when laterality is not specified.
Applicable To
- Heel spur, unspecified
Excludes
- Plantar fasciitis (M72.2)
Clinical Validation Requirements
- Radiographic confirmation of spur
- Symptoms of heel pain
Coding Notes
Avoid using this code if laterality can be determined.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Plantar fasciitis
M72.2Differential 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 Calcaneal Spur to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M77.31.
Impact
Clinical: May lead to incorrect diagnosis., Regulatory: Non-compliance with coding standards., Financial: Potential denial of claims.
Mitigation Strategy
Always include imaging results in the patient's record.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with specificity requirements., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies right or left to use M77.31 or M77.32.
Impact
Failure to document laterality can lead to audit issues.
Mitigation Strategy
Ensure laterality is always documented in clinical notes.
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 Calcaneal Spur, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Calcaneal Spur
Use these documentation templates to ensure complete and accurate documentation for Calcaneal Spur. These templates include all required elements for proper coding and billing.
Orthopedic evaluation of heel pain
Specialty: OrthopedicsRequired Elements
- Patient history
- Physical examination findings
- Imaging results
- Diagnosis
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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