ICD-10 Coding for Plantar Fibroma(M72.2)
Complete ICD-10-CM coding and documentation guide for Plantar Fibroma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Plantar Fibroma
M72.2Primary Range
Plantar fascial fibromatosis
This is the primary ICD-10 code for plantar fibroma, covering nodules on the plantar fascia.
Benign neoplasm of connective and other soft tissue of limb
Used if the lesion is misdiagnosed as a benign neoplasm unrelated to fibromatosis.
Key Information: ICD-10 code for plantar fibroma
Essential facts and insights about Plantar Fibroma
Primary ICD-10-CM Code for plantar fibroma
Decision Criteria
clinical Criteria
- Presence of a palpable, firm nodule on the plantar fascia confirmed by imaging.
Applicable To
- Plantar fibroma
- Ledderhose disease
Excludes
- Plantar fasciitis (M77.3-)
Clinical Validation Requirements
- Ultrasound or MRI confirmation of nodular thickening of the plantar fascia.
Code-Specific Risks
- Risk of confusion with plantar fasciitis if not properly documented.
Coding Notes
- Ensure imaging confirms the presence of a fibroma to avoid misclassification.
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.
Calcaneal spur
M77.3-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Plantar Fibroma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M72.2.
Impact
Clinical: May lead to misdiagnosis or incorrect treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to insufficient documentation.
Mitigation Strategy
Always specify the exact location and characteristics of the mass., Use imaging to confirm and document findings.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure imaging or clinical documentation confirms fibromatosis before coding.
Impact
Coding M72.2 without imaging confirmation of fibroma.
Mitigation Strategy
Ensure all cases coded as M72.2 have corresponding imaging documentation.
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 Fibroma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Plantar Fibroma
Use these documentation templates to ensure complete and accurate documentation for Plantar Fibroma. These templates include all required elements for proper coding and billing.
Podiatry Progress Note
Specialty: PodiatryRequired Elements
- Patient history
- Physical examination findings
- Imaging results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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