ICD-10 Coding for Bilateral TFCC Calcifications(M11.13)
Complete ICD-10-CM coding and documentation guide for Bilateral TFCC Calcifications. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bilateral TFCC Calcifications
M11.1-M11.9Primary Range
Other crystal arthropathies
This range includes codes for crystal arthropathies such as CPPD, which is relevant for TFCC calcifications.
Key Information: ICD-10 code for bilateral TFCC calcifications
Essential facts and insights about Bilateral TFCC Calcifications
Primary ICD-10-CM Code for tfcc calcifications bilateral
Decision Criteria
clinical Criteria
- Bilateral TFCC calcifications confirmed by imaging
documentation Criteria
- Explicit mention of CPPD in medical records
Applicable To
- CPPD with bilateral TFCC calcifications
Excludes
- Other specified crystal arthropathies (M11.8)
Clinical Validation Requirements
- Imaging confirmation of bilateral TFCC calcifications
- Synovial fluid analysis showing CPPD crystals
Code-Specific Risks
- Risk of incorrect laterality documentation
- Potential for misclassification if CPPD is not confirmed
Coding Notes
- Ensure documentation specifies bilateral involvement and confirms CPPD.
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 Bilateral TFCC Calcifications to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M11.13.
Impact
Clinical: Leads to incomplete clinical records., Regulatory: Non-compliance with ICD-10 guidelines., Financial: Potential claim denials.
Mitigation Strategy
Always document laterality explicitly.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Use separate codes for left and right if no bilateral code is available.
Impact
Failure to document laterality can lead to audit issues.
Mitigation Strategy
Implement mandatory laterality checks in documentation.
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 Bilateral TFCC Calcifications, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bilateral TFCC Calcifications
Use these documentation templates to ensure complete and accurate documentation for Bilateral TFCC Calcifications. These templates include all required elements for proper coding and billing.
Rheumatology Progress Note
Specialty: RheumatologyRequired Elements
- Assessment of CPPD
- Imaging findings
- Synovial fluid analysis results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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