ICD-10 Coding for Tarsal Tunnel Syndrome(G57.51, G57.52, G57.53, G57.50)
Complete ICD-10-CM coding and documentation guide for Tarsal Tunnel Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Tarsal Tunnel Syndrome
G57.5Primary Range
Mononeuropathy of lower limb
This range includes codes specific to tarsal tunnel syndrome, detailing laterality and specificity.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G57.51 | Tarsal tunnel syndrome, right lower limb | Use when documentation specifies right lower limb involvement. |
|
| G57.52 | Tarsal tunnel syndrome, left lower limb | Use when documentation specifies left lower limb involvement. |
|
| G57.53 | Tarsal tunnel syndrome, bilateral | Use when documentation specifies bilateral involvement. |
|
| G57.50 | Tarsal tunnel syndrome, unspecified lower limb | Use when documentation does not specify laterality. |
|
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 tarsal tunnel syndrome
Essential facts and insights about Tarsal Tunnel Syndrome
Primary ICD-10-CM Codes for tarsal tunnel syndrome
Decision Criteria
clinical Criteria
- Presence of positive Tinel’s sign and delayed nerve conduction
documentation Criteria
- Specific mention of right lower limb involvement
Applicable To
- Right foot pain due to nerve compression
Clinical Validation Requirements
- Positive Tinel’s sign at right medial ankle
- Nerve conduction study showing delayed latency in right tibial nerve
Code-Specific Risks
- Incorrect laterality documentation leading to unspecified coding
Coding Notes
- Ensure laterality is documented to avoid using unspecified codes.
G57.52 - Tarsal tunnel syndrome, left lower limb
Use when documentation specifies left lower limb involvement.
Applicable To
- Left foot pain due to nerve compression
Excludes
- Plantar nerve lesion (G57.6-)
- Plantar fasciitis (M72.2)
Clinical Validation Requirements
- Positive Tinel’s sign at left medial ankle
- Nerve conduction study showing delayed latency in left tibial nerve
Coding Notes
Ensure laterality is documented to avoid using unspecified codes.
G57.53 - Tarsal tunnel syndrome, bilateral
Use when documentation specifies bilateral involvement.
Applicable To
- Bilateral foot pain due to nerve compression
Excludes
- Plantar nerve lesion (G57.6-)
- Plantar fasciitis (M72.2)
Clinical Validation Requirements
- Positive Tinel’s sign at both medial ankles
- Nerve conduction study showing delayed latency in both tibial nerves
Coding Notes
Ensure laterality is documented to avoid using unspecified codes.
G57.50 - Tarsal tunnel syndrome, unspecified lower limb
Use when documentation does not specify laterality.
Applicable To
- Foot pain due to nerve compression without specified laterality
Excludes
- Plantar nerve lesion (G57.6-)
- Plantar fasciitis (M72.2)
Clinical Validation Requirements
- Positive Tinel’s sign without specified laterality
- Nerve conduction study showing delayed latency without specified laterality
Coding Notes
Encourage documentation of laterality to avoid unspecified coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Neuralgia/neuritis
M79.2Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Tarsal Tunnel Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G57.51.
Impact
Clinical: Leads to incomplete clinical records., Regulatory: Increases risk of audit., Financial: May result in claim denials or reduced reimbursement.
Mitigation Strategy
Use standardized templates., Educate staff on importance of laterality.
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Increases risk of audit for unspecified coding., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Query provider to specify right/left/bilateral involvement.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate procedure data.
Mitigation Strategy
Ensure documentation specifies injection into tarsal tunnel, not plantar nerve.
Impact
Using unspecified codes when laterality is documented.
Mitigation Strategy
Ensure documentation includes laterality and use specific codes.
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 Tarsal Tunnel Syndrome, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Tarsal Tunnel Syndrome
Use these documentation templates to ensure complete and accurate documentation for Tarsal Tunnel Syndrome. These templates include all required elements for proper coding and billing.
Initial Evaluation of Tarsal Tunnel Syndrome
Specialty: PodiatryRequired Elements
- Patient history
- Physical exam findings
- Diagnostic test results
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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