ICD-10 Coding for Right Heel Pain(M77.31, M72.2, M79.671)
Complete ICD-10-CM coding and documentation guide for Right Heel Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Right Heel Pain
M70-M79Primary Range
Soft tissue disorders
This range includes codes for pain and disorders of the soft tissues, including heel pain.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M77.31 | Calcaneal spur, right foot | Use when there is radiographic confirmation of a calcaneal spur causing heel pain. |
|
| M72.2 | Plantar fasciitis | Use when clinical tests confirm plantar fascia inflammation. |
|
| M79.671 | Pain in right foot | Use when pain is present but no specific condition is diagnosed. |
|
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 heel pain
Essential facts and insights about Right Heel Pain
Primary ICD-10-CM Codes for right heel pain
Decision Criteria
clinical Criteria
- Radiographic evidence of spur
Applicable To
- Heel spur
Excludes
- Plantar fasciitis (M72.2)
Clinical Validation Requirements
- Radiographic evidence of calcaneal spur
- Chronic heel pain
Code-Specific Risks
- Misdiagnosis without imaging confirmation
Coding Notes
- Ensure radiographic evidence is documented.
M72.2 - Plantar fasciitis
Use when clinical tests confirm plantar fascia inflammation.
Applicable To
- Inflammation of plantar fascia
Excludes
- Calcaneal spur (M77.31)
Clinical Validation Requirements
- Clinical tests such as Windlass test
- Ultrasound showing thickened fascia
Coding Notes
Document clinical tests and imaging results.
M79.671 - Pain in right foot
Use when pain is present but no specific condition is diagnosed.
Applicable To
- Unspecified foot pain
Excludes
- Specific conditions like plantar fasciitis or calcaneal spur
Clinical Validation Requirements
- Generalized foot pain without specific diagnosis
Coding Notes
Use as a last resort when no specific condition is identified.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Heel Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M77.31.
Impact
Clinical: May lead to misdiagnosis., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Ensure detailed documentation of clinical findings.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces specificity and accuracy of clinical data.
Mitigation Strategy
Use specific codes like M77.31 or M72.2 when applicable.
Impact
Using M79.671 when specific conditions are present.
Mitigation Strategy
Ensure imaging and clinical tests are documented to support specific coding.
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 Heel Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Right Heel Pain
Use these documentation templates to ensure complete and accurate documentation for Right Heel Pain. These templates include all required elements for proper coding and billing.
Chronic right heel pain
Specialty: PodiatryRequired Elements
- Pain characteristics
- Duration
- Aggravating factors
- Imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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