ICD-10 Coding for Swelling of Foot(R60.0, I87.1)
Complete ICD-10-CM coding and documentation guide for Swelling of Foot. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Swelling of Foot
R60-R60.9Primary Range
Edema
This range includes codes for different types of edema, including localized and generalized, which are relevant for coding swelling of the foot.
Other disorders of veins
Includes codes for venous hypertension with edema, which may be relevant if the swelling is due to venous insufficiency.
Other and unspecified soft tissue disorders
Includes codes for soft tissue disorders, which may be used if the swelling is non-traumatic and of unclear etiology.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R60.0 | Localized edema | Use when swelling is isolated to the foot without systemic cause. |
|
| I87.1 | Chronic venous hypertension (idiopathic) with edema | Use when swelling is due to confirmed venous insufficiency. |
|
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 swelling of foot
Essential facts and insights about Swelling of Foot
Primary ICD-10-CM Codes for swelling of foot
Decision Criteria
clinical Criteria
- Swelling limited to one foot with no systemic symptoms.
Applicable To
- Localized swelling of foot
Excludes
- Generalized edema (R60.1)
Clinical Validation Requirements
- Documentation of laterality and specific location
- Measurement comparison with contralateral limb
Code-Specific Risks
- Incorrectly coding generalized edema as localized
Coding Notes
- Ensure documentation specifies laterality and location to avoid miscoding.
I87.1 - Chronic venous hypertension (idiopathic) with edema
Use when swelling is due to confirmed venous insufficiency.
Applicable To
- Venous insufficiency with foot swelling
Excludes
- Varicose veins of lower extremities (I83.-)
Clinical Validation Requirements
- Documented venous reflux on Doppler ultrasound
Coding Notes
Ensure venous insufficiency is confirmed through diagnostic testing.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Type 2 diabetes mellitus without complications
E11.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Swelling of Foot to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R60.0.
Impact
Clinical: Leads to incomplete clinical picture., Regulatory: May result in audit discrepancies., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Always document laterality in physical exam., Use templates to ensure completeness.
Impact
Reimbursement: Incorrect coding can lead to denied claims or incorrect DRG assignment., Compliance: May result in audit findings and penalties., Data Quality: Impacts accuracy of patient records and data reporting.
Mitigation Strategy
Ensure documentation specifies whether edema is localized or generalized.
Impact
Using R60.1 instead of R60.0 without proper documentation.
Mitigation Strategy
Ensure documentation clearly distinguishes between localized and generalized edema.
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 Swelling of Foot, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Swelling of Foot
Use these documentation templates to ensure complete and accurate documentation for Swelling of Foot. These templates include all required elements for proper coding and billing.
Acute foot swelling in a diabetic patient
Specialty: PodiatryRequired Elements
- Laterality and specific location of swelling
- Comparison with contralateral limb
- Presence of pitting or non-pitting edema
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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