ICD-10 Coding for Plantar Fasciitis (Right)(M72.21)
Complete ICD-10-CM coding and documentation guide for Plantar Fasciitis (Right). Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Plantar Fasciitis (Right)
Key Information: ICD-10 code for plantar fasciitis right foot
Essential facts and insights about Plantar Fasciitis (Right)
Primary ICD-10-CM Code for plantar fasciitis right
Decision Criteria
clinical Criteria
- Presence of heel pain localized to the medial calcaneal tubercle
documentation Criteria
- Documentation must specify 'right' in the diagnosis
Applicable To
- Plantar fasciitis, right foot
Excludes
- Calcaneal spur without plantar fasciitis
Clinical Validation Requirements
- Tenderness on palpation of the medial calcaneal tubercle
- Ultrasound showing plantar fascia thickness >4mm
Code-Specific Risks
- Omitting laterality can lead to incorrect coding.
Coding Notes
- Ensure laterality is specified to avoid denials.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Calcaneal spur, right foot
M77.31Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Pain in right foot
M79.671Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Plantar Fasciitis (Right) to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M72.21.
Impact
Clinical: Leads to incorrect treatment plans., Regulatory: Non-compliance with coding guidelines., Financial: Potential claim denials and revenue loss.
Mitigation Strategy
Always check for laterality in documentation., Use the correct 6th character for laterality.
Impact
Reimbursement: Claims may be denied due to lack of specificity., Compliance: Non-compliance with ICD-10 coding standards., Data Quality: Inaccurate data collection affecting patient records.
Mitigation Strategy
Always specify laterality using the 6th character.
Impact
Failure to specify laterality can lead to audit flags.
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 Plantar Fasciitis (Right), with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Plantar Fasciitis (Right)
Use these documentation templates to ensure complete and accurate documentation for Plantar Fasciitis (Right). These templates include all required elements for proper coding and billing.
Routine podiatry visit for plantar fasciitis
Specialty: PodiatryRequired Elements
- Subjective: Patient's description of symptoms
- Objective: Physical exam findings
- Assessment: Diagnosis with ICD-10 code
- Plan: Treatment plan including any procedures
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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