ICD-10 Coding for Left Achilles Tendinitis(M76.62)
Complete ICD-10-CM coding and documentation guide for Left Achilles Tendinitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Achilles Tendinitis
M76.6-M76.62Primary Range
Achilles tendinitis
This range includes codes for Achilles tendinitis, specifying laterality and associated conditions.
Other specified disorders of tendon
Used for tendon disorders not specifically classified under tendinitis, such as tendinosis.
Key Information: ICD-10 code for left Achilles tendinitis
Essential facts and insights about Left Achilles Tendinitis
Primary ICD-10-CM Code for left achilles tendinitis
Decision Criteria
clinical Criteria
- Presence of tenderness and swelling in the left Achilles tendon
documentation Criteria
- Documentation must specify 'left' for accurate coding
Applicable To
- Left Achilles tendinitis with inflammation
Clinical Validation Requirements
- Tenderness on palpation 2-6 cm above the left heel
- Positive arc sign
- Ultrasound showing tendon thickening
Code-Specific Risks
- Incorrectly using M76.60 when laterality is documented
Coding Notes
- Ensure documentation specifies 'left' to avoid using unspecified codes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Obesity, unspecified
E66.9Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Left Achilles Tendinitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M76.62.
Impact
Clinical: May lead to incorrect treatment plans., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials or delays.
Mitigation Strategy
Train staff on the importance of documenting laterality.
Impact
Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on patient records.
Mitigation Strategy
Ensure documentation specifies 'left' to use M76.62
Impact
Failure to document laterality can lead to incorrect coding.
Mitigation Strategy
Implement checks to ensure laterality is documented.
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 Left Achilles Tendinitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Achilles Tendinitis
Use these documentation templates to ensure complete and accurate documentation for Left Achilles Tendinitis. These templates include all required elements for proper coding and billing.
Orthopedic evaluation for left Achilles tendinitis
Specialty: OrthopedicsRequired Elements
- Patient history
- Physical examination findings
- Imaging results
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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