ICD-10 Coding for Right Thigh Pain(M79.651)
Complete ICD-10-CM coding and documentation guide for Right Thigh Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Thigh Pain
M79.60-M79.67Primary Range
Other soft tissue disorders, not elsewhere classified
This range includes codes for pain in specific parts of the body, including the thigh.
Key Information: ICD-10 code for right thigh pain
Essential facts and insights about Right Thigh Pain
Primary ICD-10-CM Code for right thigh pain
Decision Criteria
clinical Criteria
- Pain localized to the right thigh without joint involvement
coding Criteria
- Exclude codes for joint or psychological pain if not applicable
Applicable To
- Localized pain in the right thigh
Clinical Validation Requirements
- Clinical examination confirming pain localized to the right thigh
- Exclusion of joint, nerve, or vascular causes through imaging or tests
Code-Specific Risks
- Incorrectly coding when pain is due to a joint issue or psychological factors
Coding Notes
- Ensure documentation specifies the location and nature of the pain to avoid miscoding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Acute pain due to trauma
G89.11Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Thigh Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M79.651.
Impact
Clinical: Leads to inaccurate clinical records., Regulatory: May result in audit issues., Financial: Potential for claim denials.
Mitigation Strategy
Always verify laterality in documentation, Use specific codes when available
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data recording.
Mitigation Strategy
Use M25.551 if the pain is related to hip joint movement.
Impact
Using M79.651 when pain is psychogenic.
Mitigation Strategy
Ensure thorough clinical evaluation to exclude psychological factors.
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 Thigh Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Thigh Pain
Use these documentation templates to ensure complete and accurate documentation for Right Thigh Pain. These templates include all required elements for proper coding and billing.
Orthopedic Evaluation
Specialty: OrthopedicsRequired Elements
- Pain location and description
- Functional impact
- Exclusion of joint or nerve involvement
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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