ICD-10 Coding for Right Lateral Epicondylitis(M77.11)
Complete ICD-10-CM coding and documentation guide for Right Lateral Epicondylitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Lateral Epicondylitis
M77.1-M77.19Primary Range
Other enthesopathies of elbow region
This range includes specific codes for lateral epicondylitis, distinguishing between right, left, and unspecified laterality.
Key Information: ICD-10 code for right lateral epicondylitis
Essential facts and insights about Right Lateral Epicondylitis
Primary ICD-10-CM Code for right lateral epicondylitis
Decision Criteria
clinical Criteria
- Presence of tenderness and positive provocation tests specific to the right elbow.
documentation Criteria
- Explicit mention of 'right elbow' in the clinical notes.
Applicable To
- Tennis elbow of right elbow
Excludes
- Medial epicondylitis (M77.0-)
Clinical Validation Requirements
- Tenderness over the lateral epicondyle
- Positive Cozen's test
- Positive Mill's maneuver
Code-Specific Risks
- Incorrect laterality documentation
- Confusion with medial epicondylitis
Coding Notes
- Ensure laterality is documented in at least three sections of the medical record.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pain in right elbow
M25.521Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Radial tunnel syndrome
G56.30Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Lateral Epicondylitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M77.11.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Use standardized templates that include test documentation fields., Train staff on the importance of detailed clinical notes.
Impact
Reimbursement: Incorrect coding can lead to reduced reimbursement rates., Compliance: Non-compliance with coding standards due to lack of specificity., Data Quality: Decreases the accuracy of patient records and data analytics.
Mitigation Strategy
Ensure laterality is clearly documented as 'right' in the medical record.
Impact
Failure to specify laterality can lead to incorrect coding.
Mitigation Strategy
Implement mandatory fields in EHR for laterality 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 Right Lateral Epicondylitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Lateral Epicondylitis
Use these documentation templates to ensure complete and accurate documentation for Right Lateral Epicondylitis. These templates include all required elements for proper coding and billing.
Orthopedic evaluation for right lateral epicondylitis
Specialty: OrthopedicsRequired Elements
- Patient's occupation and activity level
- Specific provocation tests performed
- Imaging results if applicable
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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