ICD-10 Coding for Left Great Toe Amputation(Z89.412, S98.122S)
Complete ICD-10-CM coding and documentation guide for Left Great Toe Amputation. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Left Great Toe Amputation
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z89.412 | Acquired absence of left great toe | Use for non-traumatic surgical removal of the left great toe. |
|
| S98.122S | Traumatic amputation of left great toe, sequela | Use for sequelae of traumatic amputation of the left great toe. |
|
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 left great toe amputation
Essential facts and insights about Left Great Toe Amputation
Primary ICD-10-CM Codes for left great toe amputation
Decision Criteria
clinical Criteria
- Presence of surgical amputation due to non-traumatic causes
coding Criteria
- Use Z89.412 for acquired absence, not traumatic
Applicable To
- Surgical amputation of left great toe
Excludes
- Traumatic amputation of left great toe (S98.122S)
Clinical Validation Requirements
- Documented surgical removal of left great toe
- Underlying condition such as diabetes or PAD
Code-Specific Risks
- Incorrectly coding traumatic amputations as acquired
Coding Notes
- Ensure documentation specifies the cause and level of amputation.
S98.122S - Traumatic amputation of left great toe, sequela
Use for sequelae of traumatic amputation of the left great toe.
Applicable To
- Sequela of traumatic amputation of left great toe
Excludes
- Acquired absence of left great toe (Z89.412)
Clinical Validation Requirements
- History of trauma leading to amputation
- Documentation of sequelae such as phantom pain
Coding Notes
Ensure trauma history is well-documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Non-pressure chronic ulcer of left toe
L97.423Differential 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 Great Toe Amputation to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z89.412.
Impact
Clinical: Inaccurate clinical records, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Use templates for documentation, Train staff on coding requirements
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with specificity requirements., Data Quality: Poor data quality and inaccurate health records.
Mitigation Strategy
Always specify the exact toe and laterality with Z89.412.
Impact
Reimbursement: Claims may be rejected or underpaid., Compliance: Failure to comply with coding guidelines., Data Quality: Inaccurate procedural data.
Mitigation Strategy
Always append -TA for procedures involving the great toe.
Impact
Risk of audits due to unspecified codes.
Mitigation Strategy
Use specific codes and modifiers for all procedures.
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 Great Toe Amputation, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Left Great Toe Amputation
Use these documentation templates to ensure complete and accurate documentation for Left Great Toe Amputation. These templates include all required elements for proper coding and billing.
Surgical Amputation of Left Great Toe
Specialty: PodiatryRequired Elements
- Procedure description
- Level of amputation
- Cause of amputation
- Post-operative plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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