ICD-10 Coding for Right Plantar Fasciitis(M72.2, M77.31)
Complete ICD-10-CM coding and documentation guide for Right Plantar Fasciitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Plantar Fasciitis
M72-M77Primary Range
Disorders of synovium and tendon
This range includes codes for plantar fasciitis and related conditions such as calcaneal spurs.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M72.2 | Plantar fascial fibromatosis | Use when plantar fasciitis is diagnosed, regardless of laterality. |
|
| M77.31 | Calcaneal spur, right foot | Use when a calcaneal spur is confirmed and symptomatic. |
|
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 plantar fasciitis
Essential facts and insights about Right Plantar Fasciitis
Primary ICD-10-CM Codes for right plantar fasciitis
Decision Criteria
clinical Criteria
- Presence of morning heel pain and tenderness at the medial calcaneal tubercle.
documentation Criteria
- Document 'right plantar fasciitis' in the assessment.
Applicable To
- Plantar fasciitis
Excludes
- Calcaneal spur (M77.3-)
Clinical Validation Requirements
- Morning heel pain
- Tenderness at medial calcaneal tubercle
- Positive Windlass test
Code-Specific Risks
- Failure to document laterality in medical records.
Coding Notes
- Ensure documentation specifies 'right plantar fasciitis' even though the code does not require laterality.
M77.31 - Calcaneal spur, right foot
Use when a calcaneal spur is confirmed and symptomatic.
Applicable To
- Heel spur
Excludes
- Plantar fasciitis (M72.2)
Clinical Validation Requirements
- Imaging confirmation of calcaneal spur
Coding Notes
Ensure imaging supports the diagnosis of a calcaneal spur.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other abnormalities of gait
R26.89Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Plantar Fasciitis 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 inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Use specific terms like 'right plantar fasciitis'., Document detailed physical exam findings.
Impact
Reimbursement: May lead to claim denials if documentation is insufficient., Compliance: Non-compliance with documentation standards., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always document 'right plantar fasciitis' in the medical record.
Impact
Failure to document laterality can lead to audit issues.
Mitigation Strategy
Ensure all documentation specifies 'right plantar fasciitis'.
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 Plantar Fasciitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Plantar Fasciitis
Use these documentation templates to ensure complete and accurate documentation for Right Plantar Fasciitis. These templates include all required elements for proper coding and billing.
Chronic right heel pain
Specialty: PodiatryRequired Elements
- Subjective: Patient history of heel pain, morning stiffness.
- Objective: Physical exam findings, imaging results.
- Assessment: Diagnosis of right plantar fasciitis.
- Plan: Treatment plan including conservative measures.
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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