ICD-10 Coding for Left Plantar Fasciitis(M72.21)
Complete ICD-10-CM coding and documentation guide for Left Plantar Fasciitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Plantar Fasciitis
M72.2-M72.21Primary Range
Plantar fascial fibromatosis and specific laterality codes
This range includes the primary codes for plantar fasciitis, with M72.21 specifically for the left foot.
Key Information: ICD-10 code for left plantar fasciitis
Essential facts and insights about Left Plantar Fasciitis
Primary ICD-10-CM Code for left plantar fasciitis
Decision Criteria
clinical Criteria
- Presence of tenderness at the medial calcaneal tubercle.
documentation Criteria
- Documented failure of 6 months of conservative treatment.
Applicable To
- Left plantar fasciitis
Excludes
- Plantar fascial fibromatosis, right foot (M72.22)
Clinical Validation Requirements
- Tenderness at medial calcaneal tubercle, left foot
- Morning pain lasting >30 minutes
Code-Specific Risks
- Ensure laterality is specified to avoid denials.
Coding Notes
- Always specify laterality to ensure proper coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Calcaneal spur, left foot
M77.31Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Pain in left foot
M79.671Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Left Plantar Fasciitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M72.21.
Impact
Clinical: May lead to incorrect treatment planning, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Always specify left or right in documentation, Use templates that prompt for laterality
Impact
Reimbursement: Claims may be denied if laterality is not specified., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data collection for condition tracking.
Mitigation Strategy
Always use M72.21 for left plantar fasciitis.
Impact
Failure to specify laterality can lead to audit flags.
Mitigation Strategy
Implement documentation checks to ensure laterality is always included.
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 Plantar Fasciitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Plantar Fasciitis
Use these documentation templates to ensure complete and accurate documentation for Left Plantar Fasciitis. These templates include all required elements for proper coding and billing.
Initial Diagnosis
Specialty: PodiatryRequired Elements
- Subjective: Patient-reported symptoms
- Objective: Physical exam findings
- Assessment: Diagnosis
- Plan: Treatment strategy
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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