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ICD-10 Coding for Right Toe Amputation(0Y6M0ZZ, 0Y6N0ZZ)

Complete ICD-10-CM coding and documentation guide for Right Toe Amputation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Amputation of Right ToeRight Toe Removal

Related ICD-10 Code Ranges

Complete code families applicable to Right Toe Amputation

0Y6M0ZZ-0Y6N0ZZPrimary Range

ICD-10-PCS codes for right toe detachment procedures

These codes cover the surgical removal of the right toe, either complete or partial.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
0Y6M0ZZDetachment of Right Toe, CompleteUse for complete surgical removal of the right toe.
  • Surgical report indicating complete removal
  • Imaging confirming complete detachment
0Y6N0ZZDetachment of Right Toe, PartialUse for partial surgical removal of the right toe.
  • Surgical report indicating partial removal
  • Imaging confirming partial detachment

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 toe amputation

Essential facts and insights about Right Toe Amputation

The ICD-10 code for a complete right toe amputation is 0Y6M0ZZ, while a partial amputation is coded as 0Y6N0ZZ.

Primary ICD-10-CM Codes for right toe amputation

Detachment of Right Toe, Complete
Non-billable Code

Decision Criteria

clinical Criteria

  • Complete removal of the right toe confirmed by surgical report

Applicable To

  • Complete removal of right toe

Excludes

  • Partial removal of right toe

Clinical Validation Requirements

  • Surgical report indicating complete removal
  • Imaging confirming complete detachment

Code-Specific Risks

  • Incorrectly coding partial amputations as complete

Coding Notes

  • Ensure documentation specifies complete removal and laterality.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Type 2 diabetes mellitus with foot ulcer

E11.621
Use if the amputation is due to diabetic complications.

Non-pressure chronic ulcer of other part of foot

L97.5
Use if the amputation is due to a chronic ulcer.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Detachment of Right Toe, Partial

0Y6N0ZZ
Use when only part of the right toe is removed.

Detachment of Right Toe, Complete

0Y6M0ZZ
Use when the entire right toe is removed.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Right Toe Amputation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 0Y6M0ZZ.

Impact

Clinical: Can 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 before submission

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: May result in compliance issues during audits., Data Quality: Affects accuracy of patient records.

Mitigation Strategy

Verify surgical documentation to ensure correct coding of amputation type.

Impact

Missing laterality in surgical reports can trigger audits.

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 Toe Amputation, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Right Toe Amputation

Use these documentation templates to ensure complete and accurate documentation for Right Toe Amputation. These templates include all required elements for proper coding and billing.

Right second toe amputation due to gangrene

Specialty: Podiatry

Required Elements

  • Procedure details
  • Indication for surgery
  • Findings during surgery
  • Technique used

Example Documentation

Procedure: Right second toe amputation at MTP joint due to gangrene.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Amputated right toe.
Good Documentation Example
Complete amputation of right second toe at MTP joint due to gangrene.
Explanation
The good example specifies the joint level and reason for amputation.

Need help with ICD-10 coding for Right Toe Amputation? Ask your questions below.

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