ICD-10 Coding for Sever's Disease(M92.6-)
Complete ICD-10-CM coding and documentation guide for Sever's Disease. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Sever's Disease
M92.6-M92.69Primary Range
Juvenile osteochondrosis of tarsus
This range includes the specific codes for Sever's Disease, which is a common cause of heel pain in children.
Key Information: ICD-10 code for Sever's Disease
Essential facts and insights about Sever's Disease
Primary ICD-10-CM Code for sever's diseas
Decision Criteria
clinical Criteria
- Positive heel squeeze test and activity-related pain
coding Criteria
- Use M92.6- for primary diagnosis of Sever's Disease
documentation Criteria
- Document physical exam findings and imaging results
Applicable To
- Sever's Disease
- Calcaneal Apophysitis
Clinical Validation Requirements
- Positive heel squeeze test
- X-ray to rule out fracture
- Tenderness on palpation
Code-Specific Risks
- Incorrect laterality coding
- Using outdated codes post-October 2024
Coding Notes
- Ensure correct laterality and episode of care are documented.
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 Sever's Disease to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M92.6-.
Impact
Clinical: May lead to incorrect treatment., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Always specify right, left, or bilateral in notes.
Impact
Reimbursement: Claims may be denied if incorrect codes are used., Compliance: Non-compliance with updated coding standards., Data Quality: Inaccurate data reporting and analysis.
Mitigation Strategy
Use M92.6- with correct laterality and episode of care
Impact
Using outdated codes or incorrect laterality.
Mitigation Strategy
Regularly update coding practices and verify code accuracy.
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 Sever's Disease, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Sever's Disease
Use these documentation templates to ensure complete and accurate documentation for Sever's Disease. These templates include all required elements for proper coding and billing.
Pediatric Heel Pain
Specialty: PediatricsRequired Elements
- Patient age and activity history
- Physical exam findings
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Sever's Disease? Ask your questions below.