ICD-10 Coding for Genu Valgum(M21.06-, Q74.1)
Complete ICD-10-CM coding and documentation guide for Genu Valgum. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Genu Valgum
M21.06-M21.069Primary Range
Acquired genu valgum
This range covers acquired valgus deformities, specifying laterality and 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 |
|---|---|---|---|
| M21.06- | Valgus deformity, not elsewhere classified | Use for acquired cases with specified laterality. |
|
| Q74.1 | Congenital genu valgum | Use for congenital cases only. |
|
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 genu valgum
Essential facts and insights about Genu Valgum
Primary ICD-10-CM Codes for genu valgum
Decision Criteria
clinical Criteria
- Acquired etiology with imaging confirmation.
documentation Criteria
- Laterality must be specified.
Applicable To
- Acquired genu valgum
Excludes
- Congenital genu valgum (Q74.1)
Clinical Validation Requirements
- Documented acquired etiology
- Laterality specified
- Imaging confirmation
Code-Specific Risks
- Risk of unspecified laterality leading to audit issues.
Coding Notes
- Ensure laterality and etiology are documented.
Q74.1 - Congenital genu valgum
Use for congenital cases only.
Applicable To
- Congenital knock knees
Excludes
- Acquired genu valgum (M21.06-)
Clinical Validation Requirements
- Congenital origin documented
- Present since birth
Coding Notes
Ensure congenital nature is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Vitamin D deficiency
E55.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Genu Valgum to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M21.06-.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with coding guidelines., Financial: Potential claim denials.
Mitigation Strategy
Always assess and document any underlying conditions.
Impact
Reimbursement: May lead to denied claims., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate clinical data.
Mitigation Strategy
Always specify laterality and etiology.
Impact
Using unspecified codes can trigger audits.
Mitigation Strategy
Always specify laterality and etiology.
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 Genu Valgum, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Genu Valgum
Use these documentation templates to ensure complete and accurate documentation for Genu Valgum. These templates include all required elements for proper coding and billing.
Orthopedic evaluation of genu valgum
Specialty: OrthopedicsRequired Elements
- History of present illness
- Physical examination findings
- Imaging results
- Underlying causes
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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