ICD-10 Coding for Foot Pain Unspecified(M79.673)
Complete ICD-10-CM coding and documentation guide for Foot Pain Unspecified. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Foot Pain Unspecified
M79.67-M79.679Primary Range
Pain in limb
This range includes codes for pain in specific limbs, with M79.673 specifically for unspecified foot pain.
Key Information: ICD-10 code for unspecified foot pain
Essential facts and insights about Foot Pain Unspecified
Primary ICD-10-CM Code for foot pain unspecified
Decision Criteria
documentation Criteria
- Foot pain documented without laterality
clinical Criteria
- Exclusion of specific foot conditions
Applicable To
- Foot pain not otherwise specified
Clinical Validation Requirements
- Documentation of foot pain without specified laterality
- Exclusion of specific conditions like plantar fasciitis or diabetic ulcers
Code-Specific Risks
- Risk of audit if laterality is known but not documented
- Potential for reduced reimbursement if used inappropriately
Coding Notes
- Ensure documentation explicitly states 'unspecified' if laterality is not determined.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Foot Pain Unspecified to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M79.673.
Impact
Clinical: Leads to less precise treatment plans., Regulatory: Increases audit risk., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Train staff on importance of laterality documentation., Use templates that prompt for laterality.
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Increases risk of audit and non-compliance., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Document and code for specific laterality (M79.671 or M79.672).
Impact
Using unspecified codes when specificity is available.
Mitigation Strategy
Document laterality and specific pain characteristics.
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 Pain Unspecified, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Foot Pain Unspecified
Use these documentation templates to ensure complete and accurate documentation for Foot Pain Unspecified. These templates include all required elements for proper coding and billing.
General Foot Pain Evaluation
Specialty: PodiatryRequired Elements
- Subjective complaints
- Physical exam findings
- Diagnostic tests
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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