ICD-10 Coding for Left Great Toe Pain(M79.675, S90.932A)
Complete ICD-10-CM coding and documentation guide for Left Great Toe Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Great Toe Pain
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M79.675 | Pain in left toe(s) | Use when pain is idiopathic or due to non-traumatic causes. |
|
| S90.932A | Unspecified superficial injury of left great toe, initial encounter | Use when there is documented trauma leading to superficial injury. |
|
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 left great toe pain
Essential facts and insights about Left Great Toe Pain
Primary ICD-10-CM Codes for left great toe pain
Decision Criteria
clinical Criteria
- Pain is localized to the left great toe without trauma.
coding Criteria
- Laterality is specified as left.
Applicable To
- Localized pain in left great toe
Excludes
- Pain due to injury (S90.9)
Clinical Validation Requirements
- Documentation of pain without trauma
- Negative imaging for acute injury
Code-Specific Risks
- Risk of using without specifying laterality
Coding Notes
- Ensure laterality is documented clearly to avoid unspecified coding.
S90.932A - Unspecified superficial injury of left great toe, initial encounter
Use when there is documented trauma leading to superficial injury.
Applicable To
- Superficial injury of left great toe
Excludes
- Chronic pain (M79.675)
Clinical Validation Requirements
- Documented trauma or injury mechanism
- Initial encounter for injury
Coding Notes
Ensure documentation of injury mechanism and initial encounter status.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Localized edema
R60.0Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Left Great Toe Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M79.675.
Impact
Clinical: Leads to incorrect treatment plans., Regulatory: Non-compliance with coding guidelines., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Use templates that prompt for laterality., Review documentation for consistency before coding.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with specificity requirements., Data Quality: Impacts accuracy of patient records.
Mitigation Strategy
Ensure documentation specifies 'left great toe' to use M79.675.
Impact
Failure to document laterality can lead to audit flags.
Mitigation Strategy
Implement documentation checks for laterality before coding.
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 Great Toe Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Great Toe Pain
Use these documentation templates to ensure complete and accurate documentation for Left Great Toe Pain. These templates include all required elements for proper coding and billing.
Chronic left great toe pain without trauma
Specialty: PodiatryRequired Elements
- Pain location and severity
- Aggravating and relieving factors
- Imaging results
- Differential diagnosis
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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