ICD-10 Coding for Right Toe Pain(M79.674)
Complete ICD-10-CM coding and documentation guide for Right Toe Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Toe Pain
M79.67-Primary Range
Other specified soft tissue disorders
This range includes codes for pain in specific body parts, including the toes.
Key Information: ICD-10 code for right toe pain
Essential facts and insights about Right Toe Pain
Primary ICD-10-CM Code for right toe pain
Decision Criteria
clinical Criteria
- Pain localized to the right toe with no other diagnosis
coding Criteria
- No evidence of fracture or infection
documentation Criteria
- VAS pain scale included
Applicable To
- Localized pain in right toe
Clinical Validation Requirements
- Localized tenderness in the right toe
- VAS pain scale documentation
- Exclusion of fracture or infection via imaging
Code-Specific Risks
- Confusing laterality
- Omitting underlying conditions
Coding Notes
- Ensure documentation specifies 'right toe' to avoid miscoding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Right Toe Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M79.674.
Impact
Clinical: Misdiagnosis risk, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Standardize documentation templates to include laterality.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate patient records.
Mitigation Strategy
Ensure documentation clearly specifies 'right toe'.
Impact
Failure to document laterality can lead to audit findings.
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 Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Toe Pain
Use these documentation templates to ensure complete and accurate documentation for Right Toe Pain. These templates include all required elements for proper coding and billing.
Right Toe Pain Evaluation
Specialty: PodiatryRequired Elements
- Location of pain
- Pain scale
- Aggravating and relieving factors
- Imaging results
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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