ICD-10 Coding for Toe Walking(M67.00, M67.01, M67.02, R26.89)
Complete ICD-10-CM coding and documentation guide for Toe Walking. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Toe Walking
M67.0-M67.02Primary Range
Acquired toe-walking
Primary range for idiopathic toe-walking without neurological cause.
Other abnormalities of gait and mobility
Used when toe-walking is part of a broader gait abnormality.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M67.00 | Acquired toe-walking, unspecified | Use for idiopathic toe-walking with no specified laterality. |
|
| M67.01 | Acquired toe-walking, right foot | Use for idiopathic toe-walking affecting the right foot. |
|
| M67.02 | Acquired toe-walking, left foot | Use for idiopathic toe-walking affecting the left foot. |
|
| R26.89 | Other abnormalities of gait and mobility | Use when toe-walking is part of a broader gait abnormality. |
|
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 toe walking
Essential facts and insights about Toe Walking
Primary ICD-10-CM Codes for toe walking
Decision Criteria
clinical Criteria
- Persistent toe-walking with normal neurological exam
Applicable To
- Idiopathic toe-walking
Excludes
- Cerebral palsy (G80.-)
Clinical Validation Requirements
- Persistent toe-walking beyond age 3
- Normal neurological examination
Code-Specific Risks
- Misclassification if neurological cause is present
Coding Notes
- Ensure documentation specifies absence of neurological etiology.
M67.01 - Acquired toe-walking, right foot
Use for idiopathic toe-walking affecting the right foot.
Applicable To
- Idiopathic toe-walking, right foot
Excludes
- Cerebral palsy (G80.-)
Clinical Validation Requirements
- Persistent toe-walking on right foot
- Normal neurological examination
Coding Notes
Ensure documentation specifies absence of neurological etiology.
M67.02 - Acquired toe-walking, left foot
Use for idiopathic toe-walking affecting the left foot.
Applicable To
- Idiopathic toe-walking, left foot
Excludes
- Cerebral palsy (G80.-)
Clinical Validation Requirements
- Persistent toe-walking on left foot
- Normal neurological examination
Coding Notes
Ensure documentation specifies absence of neurological etiology.
R26.89 - Other abnormalities of gait and mobility
Use when toe-walking is part of a broader gait abnormality.
Applicable To
- Gait abnormality not otherwise specified
Excludes
- Specific gait abnormalities (M67.0-)
Clinical Validation Requirements
- Gait abnormality with no specific diagnosis
Coding Notes
Use when no specific gait abnormality code applies.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other abnormalities of gait and mobility
R26.89Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Toe Walking to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M67.00.
Impact
Clinical: May lead to incorrect diagnosis., Regulatory: Could result in coding audits., Financial: Potential for denied claims.
Mitigation Strategy
Ensure documentation includes detailed gait analysis.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Could result in coding audits., Data Quality: Affects accuracy of clinical data.
Mitigation Strategy
Ensure documentation specifies idiopathic nature and absence of neurological cause.
Impact
Using R26.89 when specific toe-walking codes apply.
Mitigation Strategy
Educate providers on specific coding requirements.
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 Toe Walking, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Toe Walking
Use these documentation templates to ensure complete and accurate documentation for Toe Walking. These templates include all required elements for proper coding and billing.
Pediatric Toe Walking Evaluation
Specialty: PediatricsRequired Elements
- History of toe-walking onset and duration
- Physical exam findings including range of motion
- Gait analysis observations
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Toe Walking? Ask your questions below.