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ICD-10 Coding for Foot Drop(M21.37x, G57.3)

Complete ICD-10-CM coding and documentation guide for Foot Drop. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Drop FootPeroneal Nerve Palsy

Related ICD-10 Code Ranges

Complete code families applicable to Foot Drop

M21.37Primary Range

Acquired foot deformities

Primary range for acquired foot drop without neurological cause.

Lesion of lateral popliteal nerve

Used when foot drop is due to peroneal nerve injury.

Monoparesis of lower limb

Used for weakness linked to central causes like stroke.

Lumbar disc disorder with radiculopathy

Used when foot drop is due to L5 radiculopathy.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
M21.37xAcquired foot dropUse when foot drop is acquired without a neurological cause.
  • Documentation of acquired foot drop
  • Physical exam showing no active dorsiflexion
G57.3Lesion of lateral popliteal nerveUse when foot drop is due to peroneal nerve injury.
  • EMG/NCS confirming peroneal neuropathy

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 foot drop

Essential facts and insights about Foot Drop

The ICD-10 code for acquired foot drop is M21.37x, with laterality specified. If due to a peroneal nerve lesion, use G57.3.

Primary ICD-10-CM Codes for foot drop

Acquired foot drop
Non-billable Code

Decision Criteria

clinical Criteria

  • Acquired foot drop without neurological cause

Applicable To

  • Acquired foot drop

Excludes

  • Congenital foot drop

Clinical Validation Requirements

  • Documentation of acquired foot drop
  • Physical exam showing no active dorsiflexion

Code-Specific Risks

  • Using unspecified laterality codes

Coding Notes

  • Ensure laterality is specified.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Monoparesis of lower limb

G83.81
Use for weakness linked to central causes.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Lesion of lateral popliteal nerve

G57.3
Use when EMG confirms peroneal neuropathy.

Acquired foot drop

M21.37x
Use when no neurological cause is identified.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Foot Drop to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M21.37x.

Impact

Clinical: Impacts treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Use documentation templates, Educate providers on specificity

Impact

Reimbursement: May affect DRG assignment., Compliance: Non-compliance with specificity requirements., Data Quality: Decreases accuracy of clinical data.

Mitigation Strategy

Query provider for specific laterality.

Impact

Lack of specificity can lead to audits.

Mitigation Strategy

Ensure all documentation specifies laterality and cause.

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 Foot Drop, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Foot Drop

Use these documentation templates to ensure complete and accurate documentation for Foot Drop. These templates include all required elements for proper coding and billing.

Traumatic Peroneal Injury

Specialty: Neurology

Required Elements

  • Cause of foot drop
  • Laterality
  • Physical exam findings
  • EMG results

Example Documentation

Patient presents with right foot drop post-accident. EMG confirms peroneal nerve lesion.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Foot drop noted.
Good Documentation Example
Right foot drop post-trauma with peroneal nerve lesion confirmed by EMG.
Explanation
Good example specifies cause, laterality, and diagnostic confirmation.

Need help with ICD-10 coding for Foot Drop? Ask your questions below.

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