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ICD-10 Coding for Left Foot Plantar Fasciitis(M72.2)

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

Also known as:

Plantar Heel PainHeel Spur Syndrome

Related ICD-10 Code Ranges

Complete code families applicable to Left Foot Plantar Fasciitis

M72.2Primary Range

Plantar fascial fibromatosis

This range includes plantar fasciitis, which is the primary condition affecting the plantar fascia.

Pain in foot and toes

This range is used for documenting pain in the foot, which may accompany plantar fasciitis.

Calcaneal spur

This range includes heel spurs, which can coexist with plantar fasciitis.

Key Information: ICD-10 code for left foot plantar fasciitis

Essential facts and insights about Left Foot Plantar Fasciitis

The ICD-10 code for plantar fasciitis, including left foot cases, is M72.2. Ensure documentation specifies laterality.

Primary ICD-10-CM Code for left foot plantar fasciitis

Plantar fascial fibromatosis
Billable Code

Decision Criteria

clinical Criteria

  • Presence of heel pain with first steps in the morning.

documentation Criteria

  • Ultrasound findings of plantar fascia thickness.

Applicable To

  • Plantar fasciitis

Excludes

  • Baxter's neuritis

Clinical Validation Requirements

  • Tenderness at medial calcaneal tubercle
  • Ultrasound showing plantar fascia thickness >4.5mm

Code-Specific Risks

  • Misclassification as general foot pain

Coding Notes

  • Ensure laterality is documented even though the code does not specify it.

Ancillary Codes

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

Pain in left foot

M79.672
Use for documenting persistent pain not fully explained by plantar fasciitis.

Differential Codes

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

Calcaneal spur, left foot

M77.32
Radiographic evidence of spur without fascial thickening.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Left Foot Plantar Fasciitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M72.2.

Impact

Clinical: Potential for misdiagnosis., Regulatory: Non-compliance with documentation standards., Financial: Risk of claim denials.

Mitigation Strategy

Use templates that prompt for laterality., Regular training on documentation standards.

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Ensure imaging supports the diagnosis of plantar fasciitis.

Impact

Using non-specific codes for plantar fasciitis.

Mitigation Strategy

Regular audits and training on specific coding guidelines.

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 Left Foot Plantar Fasciitis, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Left Foot Plantar Fasciitis

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

Diagnosis of left foot plantar fasciitis

Specialty: Podiatry

Required Elements

  • Pain location and duration
  • Imaging findings
  • Functional limitations

Example Documentation

Patient reports sharp left heel pain, worst in the morning. Ultrasound shows plantar fascia thickness of 5.1mm.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has heel pain.
Good Documentation Example
Patient presents with left heel pain, tenderness at medial calcaneal tubercle, ultrasound confirms plantar fascia thickness of 5.1mm.
Explanation
The good example provides specific clinical findings and imaging results, supporting the diagnosis.

Need help with ICD-10 coding for Left Foot Plantar Fasciitis? Ask your questions below.

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