ICD-10 Coding for Sinus Tarsi Syndrome(M25.571, M25.572, M25.579)
Complete ICD-10-CM coding and documentation guide for Sinus Tarsi Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Sinus Tarsi Syndrome
M25.57Primary Range
Pain in ankle and joints of foot
This range includes codes for pain localized to specific joints in the foot, including the sinus tarsi.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| M25.571 | Pain in right ankle and joints of right foot | Use when pain is specifically localized to the sinus tarsi of the right foot and confirmed by clinical findings. |
|
| M25.572 | Pain in left ankle and joints of left foot | Use when pain is specifically localized to the sinus tarsi of the left foot and confirmed by clinical findings. |
|
| M25.579 | Pain in unspecified ankle and joints of unspecified foot | Use when pain is localized to the sinus tarsi but laterality is not specified. |
|
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 sinus tarsi syndrome
Essential facts and insights about Sinus Tarsi Syndrome
Primary ICD-10-CM Codes for sinus tarsi syndrome
Decision Criteria
clinical Criteria
- Pain localized to sinus tarsi with imaging confirmation
Applicable To
- Pain localized to sinus tarsi of the right foot
Excludes
- Generalized ankle pain without specific localization
Clinical Validation Requirements
- MRI showing synovitis or fibrosis
- Positive dynamic impingement test
- Relief after injection into sinus tarsi
Code-Specific Risks
- Risk of using unspecified code when laterality is documented
Coding Notes
- Ensure documentation specifies laterality and location of pain.
M25.572 - Pain in left ankle and joints of left foot
Use when pain is specifically localized to the sinus tarsi of the left foot and confirmed by clinical findings.
Applicable To
- Pain localized to sinus tarsi of the left foot
Excludes
- Generalized ankle pain without specific localization
Clinical Validation Requirements
- MRI showing synovitis or fibrosis
- Positive dynamic impingement test
- Relief after injection into sinus tarsi
Coding Notes
Ensure documentation specifies laterality and location of pain.
M25.579 - Pain in unspecified ankle and joints of unspecified foot
Use when pain is localized to the sinus tarsi but laterality is not specified.
Applicable To
- Pain localized to sinus tarsi without specified laterality
Excludes
- Generalized ankle pain without specific localization
Clinical Validation Requirements
- MRI showing synovitis or fibrosis
- Positive dynamic impingement test
- Relief after injection into sinus tarsi
Coding Notes
Ensure documentation specifies laterality and location of pain.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
MRI of ankle without contrast
73721Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Peroneal tendinopathy
M76.5-Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Sinus Tarsi Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M25.571.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to lack of specificity.
Mitigation Strategy
Train staff on importance of detailed documentation, Use templates that prompt for specific details
Impact
Reimbursement: May lead to incorrect DRG assignment and reimbursement issues., Compliance: Non-compliance with coding guidelines for specificity., Data Quality: Reduces accuracy of clinical data and reporting.
Mitigation Strategy
Ensure laterality is documented and use M25.571 or M25.572 accordingly.
Impact
Failure to document laterality can lead to incorrect coding.
Mitigation Strategy
Implement mandatory fields in EHR for laterality documentation.
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 Sinus Tarsi Syndrome, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Sinus Tarsi Syndrome
Use these documentation templates to ensure complete and accurate documentation for Sinus Tarsi Syndrome. These templates include all required elements for proper coding and billing.
Orthopedic evaluation of sinus tarsi syndrome
Specialty: OrthopedicsRequired Elements
- Specific location of pain
- Imaging findings
- Response to diagnostic tests
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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