ICD-10 Coding for Right Foot Swelling(R22.41, M79.671, R60.0)
Complete ICD-10-CM coding and documentation guide for Right Foot Swelling. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Foot Swelling
R22.4Primary Range
Localized swelling, mass and lump of lower limb
This range includes codes for localized swelling in the lower limb, specifically the right foot.
Pain in foot and toes
This range includes codes for pain in the foot, which can be ancillary to swelling.
Localized edema
This range includes codes for edema, which may be used if swelling is due to systemic causes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R22.41 | Localized swelling, mass and lump, right lower limb | Use when swelling is isolated to the right foot without a known systemic cause. |
|
| M79.671 | Pain in right foot | Use when pain is a dominant symptom with swelling. |
|
| R60.0 | Localized edema | Use when edema is pitting and related to systemic conditions. |
|
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 right foot swelling
Essential facts and insights about Right Foot Swelling
Primary ICD-10-CM Codes for right foot swelling
Decision Criteria
clinical Criteria
- Swelling localized to the right foot with no systemic cause.
documentation Criteria
- Detailed description of swelling including measurement and texture.
Applicable To
- Localized swelling of right foot
Excludes
- Generalized edema (R60.1)
Clinical Validation Requirements
- Laterality specified
- Measurement in cm
- Texture description
Code-Specific Risks
- Incorrect laterality
- Lack of specific localization
Coding Notes
- Ensure documentation specifies the exact location and characteristics of the swelling.
M79.671 - Pain in right foot
Use when pain is a dominant symptom with swelling.
Applicable To
- Pain in right foot
Excludes
- Pain in ankle and joints (M25.57)
Clinical Validation Requirements
- Pain characteristics
- Functional impact
Coding Notes
Document the severity and impact of pain on function.
R60.0 - Localized edema
Use when edema is pitting and related to systemic conditions.
Applicable To
- Localized pitting edema
Excludes
- Generalized edema (R60.1)
Clinical Validation Requirements
- Pitting description
- Response to elevation
Coding Notes
Ensure documentation includes pitting characteristics and systemic cause.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Pain in right foot
M79.671Differential 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 Right Foot Swelling to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R22.41.
Impact
Clinical: Impacts treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Always specify laterality in documentation., Use templates to ensure completeness.
Impact
Reimbursement: May lead to claim denials due to lack of specificity., Compliance: Non-compliance with ICD-10 specificity requirements., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Use R22.41 for localized swelling of the right foot.
Impact
Failure to specify laterality can lead to audit findings.
Mitigation Strategy
Implement documentation checks for laterality.
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 Right Foot Swelling, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Foot Swelling
Use these documentation templates to ensure complete and accurate documentation for Right Foot Swelling. These templates include all required elements for proper coding and billing.
Post-Traumatic Swelling
Specialty: PodiatryRequired Elements
- Swelling description
- Pain assessment
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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