ICD-10 Coding for Right Tennis Elbow(M77.11)
Complete ICD-10-CM coding and documentation guide for Right Tennis Elbow. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Tennis Elbow
M77.1-M77.19Primary Range
Other enthesopathies of elbow region
This range includes specific codes for lateral epicondylitis, which is the primary condition being documented.
Key Information: ICD-10 code for right tennis elbow
Essential facts and insights about Right Tennis Elbow
Primary ICD-10-CM Code for right tennis elbow
Decision Criteria
clinical Criteria
- Presence of tenderness over the lateral epicondyle and positive Cozen's test.
documentation Criteria
- Documented imaging findings supporting diagnosis.
Applicable To
- Right tennis elbow
Excludes
- Medial epicondylitis (M77.01)
Clinical Validation Requirements
- Tenderness over lateral epicondyle
- Positive Cozen's test
- MRI showing tendon thickening
Code-Specific Risks
- Incorrect laterality documentation
- Confusion with medial epicondylitis
Coding Notes
- Ensure laterality is specified to avoid unspecified code usage.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long-term (current) use of non-steroidal anti-inflammatories (NSAID)
Z79.83Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Tennis Elbow 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 incorrect treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Use templates that prompt for laterality., Review documentation for completeness.
Impact
Reimbursement: May lead to denied claims due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of patient records.
Mitigation Strategy
Ensure documentation specifies right or left to use M77.11 or M77.12.
Impact
Omissions in specifying right or left can lead to audit flags.
Mitigation Strategy
Implement mandatory fields in EHR for 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 Tennis Elbow, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Tennis Elbow
Use these documentation templates to ensure complete and accurate documentation for Right Tennis Elbow. These templates include all required elements for proper coding and billing.
Chronic Right Tennis Elbow
Specialty: OrthopedicsRequired Elements
- Pain location and severity
- Functional limitations
- Imaging findings
- Special test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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