ICD-10 Coding for Charcot Foot(E11.610, M14.67-)
Complete ICD-10-CM coding and documentation guide for Charcot Foot. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Charcot Foot
E11.61-E11.69Primary Range
Type 2 diabetes mellitus with complications
Primary range for diabetic neuropathic arthropathy, including Charcot foot due to diabetes.
Charcot's joint, ankle and foot
Used for Charcot joint not related to diabetes, such as due to syphilis or alcohol neuropathy.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E11.610 | Type 2 diabetes mellitus with diabetic neuropathic arthropathy | Use when Charcot foot is directly related to diabetes. |
|
| M14.67- | Charcot's joint, ankle and foot | Use when Charcot joint is due to non-diabetic causes. |
|
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 Charcot foot
Essential facts and insights about Charcot Foot
Primary ICD-10-CM Codes for charcot foot
Decision Criteria
clinical Criteria
- Presence of diabetes and neuropathic arthropathy
coding Criteria
- Excludes M14.67- if diabetes is present
Applicable To
- Diabetic Charcot joint
Excludes
- M14.67- (Charcot's joint not due to diabetes)
Clinical Validation Requirements
- Documentation of diabetes
- Presence of neuropathic arthropathy
- Imaging showing Charcot changes
Code-Specific Risks
- Incorrectly using M14.67- for diabetic cases
Coding Notes
- Ensure diabetes is documented as the underlying cause.
M14.67- - Charcot's joint, ankle and foot
Use when Charcot joint is due to non-diabetic causes.
Applicable To
- Charcot joint due to non-diabetic causes
Excludes
- E11.61- (Diabetic neuropathic arthropathy)
Clinical Validation Requirements
- Documentation of Charcot joint
- Exclusion of diabetes as a cause
Coding Notes
Ensure non-diabetic etiology is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Non-pressure chronic ulcer of heel/midfoot
L97.4-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 Charcot Foot to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E11.610.
Impact
Clinical: Ambiguity in treatment, Regulatory: Coding errors, Financial: Potential reimbursement issues
Mitigation Strategy
Always specify left or right, Use templates to ensure completeness
Impact
Reimbursement: Incorrect DRG assignment, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Use E11.610 for diabetic neuropathic arthropathy.
Impact
Using M14.67- for diabetic Charcot
Mitigation Strategy
Educate coders on correct code selection
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 Charcot Foot, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Charcot Foot
Use these documentation templates to ensure complete and accurate documentation for Charcot Foot. These templates include all required elements for proper coding and billing.
Diabetic Charcot Foot
Specialty: PodiatryRequired Elements
- Diabetes status
- Neuropathic symptoms
- Imaging results
- Offloading methods
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Charcot Foot? Ask your questions below.