ICD-10 Coding for Right Achilles Tendinitis(M76.61, M76.60)
Complete ICD-10-CM coding and documentation guide for Right Achilles Tendinitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Achilles Tendinitis
M76.6-M76.62Primary Range
Achilles tendinitis codes
This range includes codes for Achilles tendinitis, specifying laterality and unspecified cases.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M76.61 | Achilles tendinitis, right leg | Use when documentation specifies right leg involvement. |
|
| M76.60 | Achilles tendinitis, unspecified leg | Use when laterality is not documented. |
|
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 right Achilles tendinitis
Essential facts and insights about Right Achilles Tendinitis
Primary ICD-10-CM Codes for right achilles tendinitis
Decision Criteria
clinical Criteria
- Pain and swelling localized to right Achilles tendon
documentation Criteria
- Explicit mention of 'right' in the documentation
Applicable To
- Right Achilles tendon inflammation
Excludes
- Achilles tendon rupture (S86.011A)
Clinical Validation Requirements
- Pain localized to right Achilles tendon
- Swelling and tenderness on palpation
- Positive Thompson test
- Ultrasound or MRI showing tendon thickening
Code-Specific Risks
- Incorrect use without specifying laterality
Coding Notes
- Ensure laterality is documented to use M76.61.
M76.60 - Achilles tendinitis, unspecified leg
Use when laterality is not documented.
Applicable To
- Achilles tendon inflammation without specified laterality
Excludes
- Achilles tendon rupture (S86.011A)
Clinical Validation Requirements
- General Achilles tendon pain without specified side
Coding Notes
Default to this code if laterality is not specified.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Retrocalcaneal bursitis
M70.67Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Strain of right Achilles tendon
S86.011ADocumentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Achilles Tendinitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M76.61.
Impact
Clinical: Ambiguity in treatment planning., Regulatory: Non-compliance with ICD-10 coding rules., Financial: Potential claim denials.
Mitigation Strategy
Train staff on importance of laterality documentation.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure documentation specifies 'right' to use M76.61.
Impact
Risk of audits due to unspecified laterality.
Mitigation Strategy
Ensure all documentation specifies 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 Right Achilles Tendinitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Achilles Tendinitis
Use these documentation templates to ensure complete and accurate documentation for Right Achilles Tendinitis. These templates include all required elements for proper coding and billing.
Chronic right heel pain
Specialty: OrthopedicsRequired Elements
- History of present illness
- Physical examination findings
- Imaging results
- Diagnosis
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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