ICD-10 Coding for Pain in Right Foot(M79.671)
Complete ICD-10-CM coding and documentation guide for Pain in Right Foot. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pain in Right Foot
M79.60-M79.67Primary Range
Other and unspecified soft tissue disorders, not elsewhere classified
This range includes codes for pain in specific body parts, including the right foot.
Pain in joint, foot and ankle
This range is relevant when pain is localized to the joints of the foot.
Key Information: ICD-10 code for pain in right foot
Essential facts and insights about Pain in Right Foot
Primary ICD-10-CM Code for pain right foot
Decision Criteria
clinical Criteria
- Pain localized to the right foot without specific diagnosis
coding Criteria
- No imaging or clinical findings of fracture or arthritis
documentation Criteria
- Detailed description of pain characteristics and location
Applicable To
- Localized pain in the right foot
Excludes
- Pain in right ankle and joints of right foot (M25.571)
Clinical Validation Requirements
- Documented pain in the right foot without specific underlying condition
- Physical exam findings such as tenderness or swelling
Code-Specific Risks
- Risk of using this code when a more specific diagnosis is available, such as plantar fasciitis or fracture.
Coding Notes
- Ensure documentation specifies the exact location and nature of the pain.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Chronic pain due to trauma
G89.21Differential 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 Pain in Right Foot to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M79.671.
Impact
Clinical: Impacts treatment decisions, Regulatory: Non-compliance with coding standards, Financial: Potential for claim denials
Mitigation Strategy
Always specify 'right' or 'left' in documentation, Use templates that prompt for laterality
Impact
Reimbursement: May lead to claim denials if specificity is lacking., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Evaluate for specific conditions like fractures or arthritis and code accordingly.
Impact
Using unspecified codes when more specific codes are available can trigger audits.
Mitigation Strategy
Ensure thorough documentation and review for specific diagnoses.
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 Pain in Right Foot, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pain in Right Foot
Use these documentation templates to ensure complete and accurate documentation for Pain in Right Foot. These templates include all required elements for proper coding and billing.
Patient presenting with right foot pain
Specialty: PodiatryRequired Elements
- Location of pain
- Character of pain
- Associated symptoms
- Duration and timing
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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