ICD-10 Coding for Plantar Fasciitis Right Foot(M72.21)
Complete ICD-10-CM coding and documentation guide for Plantar Fasciitis Right Foot. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Plantar Fasciitis Right Foot
M72.2-M72.29Primary Range
Plantar fascial fibromatosis
This range includes plantar fasciitis, which is a common cause of heel pain, specifically coded for laterality.
Key Information: ICD-10 code for plantar fasciitis right foot
Essential facts and insights about Plantar Fasciitis Right Foot
Primary ICD-10-CM Code for plantar fasciitis right foot
Decision Criteria
clinical Criteria
- Presence of heel pain and ultrasound confirmation of fascia thickening.
documentation Criteria
- Detailed note on pain location, severity, and imaging results.
Applicable To
- Plantar fasciitis, right foot
Clinical Validation Requirements
- Tenderness at the medial calcaneal tubercle
- Ultrasound showing plantar fascia thickening ≥4mm
- Positive Windlass test
Code-Specific Risks
- Incorrect laterality can lead to claim denials.
- Confusion with other foot conditions like Achilles tendinitis.
Coding Notes
- Ensure laterality is documented clearly to avoid unspecified coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pain in right foot
M79.671Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Achilles tendinitis, right foot
M76.61Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Plantar Fasciitis Right Foot 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 if laterality is not specified., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Always document which foot is affected., Use templates that prompt for laterality.
Impact
Reimbursement: Claims may be denied or delayed due to unspecified laterality., Compliance: Non-compliance with coding guidelines for laterality., Data Quality: Inaccurate data collection affecting patient records.
Mitigation Strategy
Always specify the affected foot by using M72.21 for the right foot.
Impact
Failure to document laterality can lead to audit flags.
Mitigation Strategy
Implement mandatory fields in EHR for laterality.
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 Plantar Fasciitis Right Foot, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Plantar Fasciitis Right Foot
Use these documentation templates to ensure complete and accurate documentation for Plantar Fasciitis Right Foot. These templates include all required elements for proper coding and billing.
Initial Evaluation of Right Foot Heel Pain
Specialty: PodiatryRequired Elements
- Subjective: Patient's description of pain
- Objective: Physical exam findings
- Assessment: Diagnosis with ICD-10 code
- Plan: Treatment plan including any procedures
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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