ICD-10 Coding for Right Forearm Pain(M79.631)
Complete ICD-10-CM coding and documentation guide for Right Forearm Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Forearm Pain
M79.6-M79.7Primary Range
Other and unspecified soft tissue disorders, not elsewhere classified
This range includes codes for pain in specific body parts, including the forearm.
Other spontaneous rupture of synovium and tendon
This range includes codes for tendon ruptures that may cause forearm pain.
Pain, not elsewhere classified
This range includes codes for acute and chronic pain management, which may be relevant if pain management is the primary focus.
Key Information: ICD-10 code for right forearm pain
Essential facts and insights about Right Forearm Pain
Primary ICD-10-CM Code for right forearm pain
Decision Criteria
clinical Criteria
- Pain localized to the forearm with no other identifiable cause.
documentation Criteria
- Detailed description of pain characteristics and exclusion of other conditions.
Applicable To
- Localized pain in the right forearm
Clinical Validation Requirements
- Documented location and characteristics of pain
- Exclusion of other causes such as fractures or tendon ruptures
Code-Specific Risks
- Risk of using unspecified codes if the location is not clearly documented.
Coding Notes
- Ensure detailed documentation of the pain's location, onset, and characteristics to support code selection.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Acute pain due to trauma
G89.11Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Spontaneous rupture of other tendons, right forearm
M66.831Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Forearm Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M79.631.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to lack of specificity.
Mitigation Strategy
Use structured templates to ensure all details are captured., Train staff on the importance of detailed documentation.
Impact
Reimbursement: May lead to denied claims due to lack of specificity., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Reduces the accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies the exact location of the pain.
Impact
Incorrect sequencing of G89 codes when pain management is the primary focus.
Mitigation Strategy
Train coders on proper sequencing rules and documentation requirements.
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 Forearm Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Forearm Pain
Use these documentation templates to ensure complete and accurate documentation for Right Forearm Pain. These templates include all required elements for proper coding and billing.
Orthopedic evaluation for forearm pain
Specialty: OrthopedicsRequired Elements
- Location of pain
- Onset and duration
- Pain characteristics
- Impact on function
- Exacerbating and relieving factors
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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