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ICD-10 Coding for Haglund's Deformity(M77.30, M77.31, M77.32)

Complete ICD-10-CM coding and documentation guide for Haglund's Deformity. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Pump BumpRetrocalcaneal Exostosis

Related ICD-10 Code Ranges

Complete code families applicable to Haglund's Deformity

M77.3-Primary Range

Other enthesopathy of ankle and tarsus

This range includes codes specific to Haglund's deformity, which is characterized by a bony enlargement on the back of the heel.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
M77.30Haglund's deformity, unspecified footUse when Haglund's deformity is diagnosed but laterality is not specified.
  • Radiographic evidence of posterosuperior calcaneal exostosis
  • Pain and swelling at the Achilles tendon insertion
M77.31Haglund's deformity, right footUse when Haglund's deformity is diagnosed on the right foot.
  • Radiographic evidence of posterosuperior calcaneal exostosis on the right foot
  • Pain and swelling at the Achilles tendon insertion
M77.32Haglund's deformity, left footUse when Haglund's deformity is diagnosed on the left foot.
  • Radiographic evidence of posterosuperior calcaneal exostosis on the left foot
  • Pain and swelling at the Achilles tendon insertion

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 Haglund's deformity

Essential facts and insights about Haglund's Deformity

The ICD-10 code for Haglund's deformity is M77.3-, with specific codes M77.31 for the right foot and M77.32 for the left foot.

Primary ICD-10-CM Codes for haglund's deformity

Haglund's deformity, unspecified foot
Billable Code

Decision Criteria

clinical Criteria

  • Presence of bony prominence on heel confirmed by imaging.

Applicable To

  • Retrocalcaneal exostosis

Excludes

Clinical Validation Requirements

  • Radiographic evidence of posterosuperior calcaneal exostosis
  • Pain and swelling at the Achilles tendon insertion

Code-Specific Risks

  • Risk of unspecified laterality leading to claim denials.

Coding Notes

  • Ensure laterality is documented to avoid unspecified coding.

Ancillary Codes

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

Achilles tendinitis

M76.6-
Use if there is concurrent Achilles tendinitis.

Differential Codes

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

Achilles tendinitis

M76.6-
Achilles tendinitis involves inflammation of the tendon without a bony prominence.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Haglund's Deformity to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M77.30.

Impact

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

Mitigation Strategy

Always specify right or left foot in documentation., Use templates that prompt for laterality.

Impact

Reimbursement: Claims may be denied due to lack of specificity., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate data collection affecting patient records.

Mitigation Strategy

Always specify laterality using M77.31 or M77.32.

Impact

Audits may target unspecified laterality in claims.

Mitigation Strategy

Implement mandatory laterality checks in documentation workflows.

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 Haglund's Deformity, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Haglund's Deformity

Use these documentation templates to ensure complete and accurate documentation for Haglund's Deformity. These templates include all required elements for proper coding and billing.

Uncomplicated Haglund's resection

Specialty: Orthopedics

Required Elements

  • Patient history of heel pain
  • Radiographic findings
  • Surgical procedure details
  • Postoperative care instructions

Example Documentation

Patient presents with chronic heel pain. X-ray shows posterosuperior calcaneal exostosis. Underwent resection of 1.5 cm prominence. No infection noted.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Resected heel bump.
Good Documentation Example
Longitudinal incision posterior heel. Retrocalcaneal bursa (1.5 cm) excised. Osteotome used to remove 12 mm posterosuperior calcaneal exostosis. Achilles tendon inspected; no tears or debridement required.
Explanation
The good example provides detailed procedural information and confirms the absence of infection.

Need help with ICD-10 coding for Haglund's Deformity? Ask your questions below.

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