ICD-10 Coding for Dupuytren's Contracture(M72.0)
Complete ICD-10-CM coding and documentation guide for Dupuytren's Contracture. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Dupuytren's Contracture
M72.0Primary Range
Dupuytren's contracture
This code is used for confirmed cases of Dupuytren's contracture, characterized by palmar nodules and flexion contractures.
Skin thickening
Used when there is no definitive diagnosis of Dupuytren's contracture, but symptoms like skin thickening are present.
Key Information: ICD-10 code for Dupuytren's contracture
Essential facts and insights about Dupuytren's Contracture
Primary ICD-10-CM Code for dupuytren's contracture
Decision Criteria
clinical Criteria
- Presence of palmar nodules and flexion contracture
documentation Criteria
- Explicit confirmation of Dupuytren's contracture in the medical record
Applicable To
- Palmar fibromatosis
Excludes
- Knuckle pads (M72.1)
Clinical Validation Requirements
- Confirmed diagnosis via physical exam showing nodules or cords
- Fixed flexion contracture ≥20°
Code-Specific Risks
- Mixing up with M72.1 for knuckle pads
- Not specifying laterality
Coding Notes
- Ensure documentation specifies the affected hand and degree of contracture.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Skin thickening
R23.4Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Knuckle pads
M72.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Dupuytren's Contracture to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M72.0.
Impact
Clinical: Inaccurate assessment of disease severity., Regulatory: Potential for coding audits., Financial: May lead to incorrect billing and reimbursement.
Mitigation Strategy
Use standardized templates for documentation., Ensure thorough physical examination notes.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: May result in audit flags for incorrect coding., Data Quality: Affects the accuracy of patient records.
Mitigation Strategy
Verify the presence of palmar nodules and contracture before coding.
Impact
Mixing up fasciotomy and fasciectomy codes.
Mitigation Strategy
Ensure detailed surgical documentation specifying the procedure performed.
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 Dupuytren's Contracture, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Dupuytren's Contracture
Use these documentation templates to ensure complete and accurate documentation for Dupuytren's Contracture. These templates include all required elements for proper coding and billing.
Orthopedic evaluation for Dupuytren's contracture
Specialty: OrthopedicsRequired Elements
- Laterality
- Degree of contracture
- Presence of nodules or cords
- Functional impact
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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