ICD-10 Coding for Peroneal Tendinitis(M76.71, M76.72)
Complete ICD-10-CM coding and documentation guide for Peroneal Tendinitis. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Peroneal Tendinitis
M76.7-M76.72Primary Range
Other enthesopathies of lower limb, excluding foot
This range includes specific codes for peroneal tendinitis with laterality.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M76.71 | Peroneal tendinitis, right leg | Use when there is confirmed inflammation of the peroneal tendons in the right leg with documented laterality. |
|
| M76.72 | Peroneal tendinitis, left leg | Use when there is confirmed inflammation of the peroneal tendons in the left leg with documented laterality. |
|
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 peroneal tendinitis
Essential facts and insights about Peroneal Tendinitis
Primary ICD-10-CM Codes for peroneal tendinitis
Decision Criteria
clinical Criteria
- Tenderness over lateral calcaneus with MRI findings
Applicable To
- Inflammation of peroneal tendons in the right leg
Excludes
- Posterior tibial tendinitis (M76.82)
Clinical Validation Requirements
- MRI showing tendon thickening or peritendinous edema
- Physical exam indicating tenderness over lateral calcaneus
Code-Specific Risks
- Risk of denial if laterality is not documented
Coding Notes
- Ensure laterality is documented to avoid unspecified coding.
M76.72 - Peroneal tendinitis, left leg
Use when there is confirmed inflammation of the peroneal tendons in the left leg with documented laterality.
Applicable To
- Inflammation of peroneal tendons in the left leg
Excludes
- Posterior tibial tendinitis (M76.82)
Clinical Validation Requirements
- MRI showing tendon thickening or peritendinous edema
- Physical exam indicating tenderness over lateral calcaneus
Coding Notes
Ensure laterality is documented to avoid unspecified coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Secondary repair of flexor tendon, leg
27659Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Posterior tibial tendinitis
M76.82Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Peroneal Tendinitis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M76.71.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Ensure imaging results are included in the patient's record.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Always document and code for specific laterality (right or left).
Impact
Failure to document laterality can lead to coding errors.
Mitigation Strategy
Implement a checklist 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 Peroneal Tendinitis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Peroneal Tendinitis
Use these documentation templates to ensure complete and accurate documentation for Peroneal Tendinitis. These templates include all required elements for proper coding and billing.
Chronic peroneal tendinitis requiring surgical intervention
Specialty: OrthopedicsRequired Elements
- Location of pain
- Imaging findings
- Physical exam results
- Surgical details
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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