ICD-10 Coding for Left Toe Pain(M79.675)
Complete ICD-10-CM coding and documentation guide for Left 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 Toe Pain
Key Information: ICD-10 code for left toe pain
Essential facts and insights about Left Toe Pain
Primary ICD-10-CM Code for left toe pain
Decision Criteria
clinical Criteria
- Pain localized to the left toe without trauma
documentation Criteria
- Explicit mention of 'left toe' in clinical notes
Applicable To
- Localized pain in left toe(s)
Excludes
- Pain in left foot (M79.672)
Clinical Validation Requirements
- Physical examination showing tenderness in left toe
- Patient reports pain localized to left toe
Code-Specific Risks
- Confusion with left foot pain codes
- Omission of laterality
Coding Notes
- Ensure documentation specifies 'left toe' to avoid confusion with foot pain codes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Hallux rigidus, left foot
M20.17Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Left 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: May lead to incorrect treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always specify 'left' or 'right' in documentation.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with ICD-10 coding standards., Data Quality: Inaccurate data on patient conditions.
Mitigation Strategy
Ensure documentation specifies 'left toe' to use M79.675 correctly.
Impact
Failure to document laterality can lead to audit issues.
Mitigation Strategy
Implement mandatory fields for laterality in EHR systems.
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 Toe Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Toe Pain
Use these documentation templates to ensure complete and accurate documentation for Left Toe Pain. These templates include all required elements for proper coding and billing.
Chronic Left Toe Pain
Specialty: PodiatryRequired Elements
- Patient history
- Physical examination findings
- Imaging results
- Differential diagnosis
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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