ICD-10 Coding for Gout in Right Foot(M10.071, M1A.0711)
Complete ICD-10-CM coding and documentation guide for Gout in Right Foot. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Gout in Right Foot
M10-M19Primary Range
Arthropathies
This range includes codes for gout and other arthropathies, with specific codes for different types and sites of gout.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M10.071 | Idiopathic gout, right ankle and foot | Use for acute idiopathic gout affecting the right ankle and foot. |
|
| M1A.0711 | Chronic gout, right ankle and foot with tophus | Use for chronic gout with tophus affecting the right ankle and foot. |
|
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 gout right foot
Essential facts and insights about Gout in Right Foot
Primary ICD-10-CM Codes for gout right foot
Decision Criteria
clinical Criteria
- Presence of acute symptoms and urate crystals in synovial fluid.
Clinical Validation Requirements
- Sudden onset of erythema and swelling in the right foot
- Synovial fluid analysis showing urate crystals
Code-Specific Risks
- Ensure laterality is documented to avoid unspecified coding.
Coding Notes
- Ensure documentation specifies acute vs chronic and includes synovial fluid analysis results.
M1A.0711 - Chronic gout, right ankle and foot with tophus
Use for chronic gout with tophus affecting the right ankle and foot.
Applicable To
- Chronic tophaceous gout of right ankle and foot
Excludes
- Acute gout (M10.071)
Clinical Validation Requirements
- Palpable subcutaneous nodules
- Imaging confirmation of tophi
Coding Notes
Ensure documentation includes chronicity and presence of tophi.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pain, unspecified
R52Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Gout in Right Foot to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M10.071.
Impact
Clinical: Misrepresentation of patient's condition., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Always document whether the condition is acute or chronic.
Impact
Reimbursement: Unspecified codes may not be reimbursable., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Always use specific codes like M10.071 or M1A.0711 when laterality is known.
Impact
Risk of audits due to use of unspecified codes.
Mitigation Strategy
Use specific codes with detailed documentation.
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 Gout in Right Foot, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Gout in Right Foot
Use these documentation templates to ensure complete and accurate documentation for Gout in Right Foot. These templates include all required elements for proper coding and billing.
Acute gout flare in right foot
Specialty: RheumatologyRequired Elements
- Laterality
- Acute vs chronic
- Presence of tophi
- Synovial fluid analysis
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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