Podiatry Specialty ICD-10-CM Coding Tip Sheet - bcbsm.com

1 Podiatry Specialty ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Podiatry and Top 20 codes Chapter 1 Certain Infectious and Parasit...

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Podiatry Specialty ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Podiatry and Top 20 codes Chapter 1 Certain Infectious and Parasitic Diseases Terminology changes:  The term “sepsis” (ICD-10-CM) has replaced the term “septicemia” (ICD-9-CM).  “Urosepsis” is a nonspecific term and is not coded in ICD-10-CM. Should a provider use this term, he or she must be queried for clarification.  Infections resistant to antibiotics require the use of an additional code for any associated drug resistance only if the infection code does not identify drug resistance (Z16 category, resistance to antimicrobial drugs if the infection code does not identify drug resistance).  Expansion of the codes to reflect manifestations of the disease. Chapter 12 Diseases of the Skin and Subcutaneous Tissue Code expansions:  Updates to medical terminology.  Anemia is the most common condition included in this chapter. The use of specific terminology is important in applying codes for this condition.  Procedural complications affecting the spleen are included in Chapter 3 of ICD-10-CM. Chapter 13 Diseases of the Musculoskeletal System and Connective Tissue  Most of the codes within this chapter have site and laterality designations.  ICD-10-CM identifies three different causes for pathological fractures: “neoplastic disease,” “osteoporosis” and other specified disease.  ICD-10-CM introduces the seventh character that describes type of encounter, or the state of a fracture’s healing and any sequela. Some codes in this chapter will have the seventh character applied. (Source: 2014 Draft ICD-10-CM Official Guidelines for Coding and Reporting)

Examples of Coding Laterality  M79.671 – Pain in right foot  M79.672 – Pain in left foot

The top 20 Podiatry Specialty ICD-9 to ICD-10 mappings is found in the chart below. Top 1-20

ICD-9

1 2 3

110.1 703.0 728.71

4

729.5

Description ICD-9

ICD-10

Dermatophytosis of nail Ingrowing nail Plantar fascial fibromatosis

B35.1 L60.0 M72.2

Pain in limb

1

Description ICD-10 Tinea unguium Ingrowing nail Plantar fascial fibromatosis

M79.601

Pain in right arm

M79.602

Pain in left arm

Top 1-20

5

ICD-9

707.15

Description ICD-9

ICD-10

Description ICD-10

M79.603

Pain in arm, unspecified

M79.604

Pain in right leg

M79.605

Pain in left leg

M79.606

Pain in leg, unspecified

M79.609

Pain in unspecified limb

M79.621

Pain in right upper arm

M79.622

Pain in left upper arm

M79.629

Pain in unspecified upper arm

M79.631

Pain in right forearm

M79.632

Pain in left forearm

M79.639

Pain in unspecified forearm

M79.641

Pain in right hand

M79.642

Pain in left hand

M79.643

Pain in unspecified hand

M79.644

Pain in right finger(s)

M79.645

Pain in left finger (s)

M79.646

Pain in unspecified finger(s)

M79.651

Pain in right thigh

M79.652

Pain in left thigh

M79.659

Pain in unspecified thigh

M79.661

Pain in right lower leg

M79.662

Pain in left lower leg

M79.669

Pain in unspecified lower leg

M79.671

Pain in right foot

M79.672

Pain in left foot

M79.673

Pain in unspecified foot

M79.674

Pain in right toe(s)

M79.675

Pain in left toe(s)

M79.676

Pain in unspecified toe(s) Atherosclerosis of native arteries of right leg w/ulceration of other part of foot Atherosclerosis of native arteries of left leg w/ulceration of other part of foot

I70.235

Ulcer of other part of foot

I70.245

2

Top 1-20

ICD-9

Description ICD-9

ICD-10

I70.335

I70.345

I70.435

I70.445

I70.535

I70.545

I70.635

I70.645

I70.735

I70.745

L97.501 L97.502 L97.503 L97.504 L97.509 L97.511 L97.512 L97.513 L97.514

3

Description ICD-10 Atherosclerosis of unspecified type of bypass graft(s) of the right leg w/ulceration of other part of foot Atherosclerosis of unspecified type of bypass graft(s) of the left leg w/ulceration of other part of foot Atherosclerosis of autologous vein bypass graft(s) of the right leg w/ulceration of other part of foot Atherosclerosis of autologous vein bypass graft(s) of the left leg w/ulceration of other part of foot Atherosclerosis of nonautologous biological bypass graft(s) of the right leg w/ulceration of other part of foot Atherosclerosis of nonautologous biological bypass graft(s) of the left leg w/ulceration of other part of foot Atherosclerosis of nonbiological bypass graft(s) of the right leg w/ulceration of other part of foot Atherosclerosis of nonbiological bypass graft(s) of the left leg w/ulceration of other part of foot Atherosclerosis of other type of bypass graft(s) of the right leg w/ulceration of other part of foot Atherosclerosis of other type of bypass graft(s) of the left leg w/ulceration of other part of foot Non-pressure chronic ulcer of other part of unspecified foot limited to breakdown of skin Non-pressure chronic ulcer of other part of unspecified foot w/fat layer exposed Non-pressure chronic ulcer of other part of unspecified foot w/necrosis of muscle Non-pressure chronic ulcer of other part of unspecified foot w/necrosis of bone Non-pressure chronic ulcer of other part of unspecified foot w/unspecified severity Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin Non-pressure chronic ulcer of other part of right foot w/fat layer exposed Non-pressure chronic ulcer of other part of right foot w/necrosis of muscle Non-pressure chronic ulcer of other part of right foot w/necrosis of bone

Top 1-20

ICD-9

Description ICD-9

ICD-10 L97.519 L97.521 L97.522 L97.523 L97.524

6 7

726.90 726.79

8

735.0

9

719.47

L97.529 M77.9 M76.70 M76.71 M76.72 M77.50 M77.51 M77.52 M20.10 M20.11 M20.12 M25.571 M25.572

Enthesopathy of unspecified site Other enthesopathy of ankle & tarsus

Hallux valgus (acquired)

Pain in joint of ankle & foot

M25.579 10

11

735.4

Other hammer toe (acquired)

25000

Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled

E11.9

Plantar wart Other specified viral warts

E13.9 B07.0 B07.8

12 13

078.12 078.19

14

355.6

15

250.60

M20.40 M20.41 M20.42

Lesion of plantar nerve

G57.60 G57.61 G57.62

Diabetes with neurological manifestations, type II or unspecified type, not stated as uncontrolled

E11.40 E11.41 E11.42 E11.43 E11.49

4

Description ICD-10 Non-pressure chronic ulcer of other part of right foot w/unspecified severity Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin Non-pressure chronic ulcer of other part of left foot w/fat layer exposed Non-pressure chronic ulcer of other part of left foot w/necrosis of muscle Non-pressure chronic ulcer of other part of left foot w/necrosis of bone Non-pressure chronic ulcer of other part of left foot w/unspecified severity Enthesopathy unspecified Peroneal tendinitis, unspecified leg Peroneal tendinitis, right leg Peroneal tendinitis, left leg Other enthesopathy of unspecified foot Other enthesopathy of right foot Other enthesopathy of left foot Hallux valgus (acquired) unspecified foot Hallux valgus (acquired) right foot Hallux valgus (acquired) left foot Pain in right ankle and joints of right foot Pain in leftt ankle and joints of left foot Pain in unspecified ankle and joints of unspecified foot Other hammer toes (acquired) unspecified foot Other hammer toes (acquired) right foot Other hammer toes (acquired) left foot Type 2 diabetes mellitus without complications Other specified diabetes mellitus without complications Plantar wart Other specified viral warts Lesion of plantar nerve, unspecified lower limb Lesion of plantar nerve, right lower limb Lesion of plantar nerve, left lower limb

Type 2 diabetes mellitus with diabetic neuropathy, unspecified Type 2 diabetes mellitus with diabetic mononeuropathy Type 2 diabetes mellitus with diabetic polyneuropathy Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy Type 2 diabetes mellitus with other diabetic neurological complication

Top 1-20

ICD-9

Description ICD-9

ICD-10 E11.610 E13.40 E13.41 E13.42 E13.43 E13.44 E13.49

16

726.73

Calcaneal spur

17 18

443.9 681.11

Peripheral vascular disease, unspecified Onychia and paronychia of toe

19

707.14

Ulcer of heel and midfoot

E13.610 M77.30 M77.31 M77.32 I73.9 L03.031 L03.032 L03.039 I70.234 I70.244

I70.334

I70.344

I70.434

I70.444

I70.534

I70.544

I70.634

5

Description ICD-10 Type 2 diabetes mellitus with diabetic neuropathic arthropathy Other specified diabetes mellitus with diabetic neuropathy, unspecified Other specified diabetes mellitus with diabetic mononeuropathy Other specified diabetes mellitus with diabetic polyneuropathy Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy Other specified diabetes mellitus with diabetic amyotrophy Other specified diabetes mellitus with other diabetic neurological complication Other specified diabetes mellitus with diabetic neuropathic arthropathy Calcaneal spur, unspecified foot Calcaneal spur, right foot Calcaneal spur, left foot Peripheral vascular disease, unspecified Cellulitis of right toe Cellulitis of left toe Cellulitis of unspecified toe Atherosclerosis of native arteries of right leg with ulceration of heel and midfoot Atherosclerosis of native arteries of left leg with ulceration of heel and midfoot Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of heel and midfoot Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of heel and midfoot Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of heel and midfoot Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of heel and midfoot Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of heel and midfoot Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of heel and midfoot Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of heel and midfoot Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of heel

I70.644

and midfoot

I70.734

Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of heel and midfoot

Top 1-20

ICD-9

Description ICD-9

ICD-10

I70.744

L97.401 L97.402 L97.403 L97.404 L97.409 L97.411 L97.412 L97.413 L97.414 L97.419 L97.421 L97.422 L97.423 L97.424

20

700

L97.429 L84

Corns and callosities

Description ICD-10 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of heel and midfoot Non-pressure chronic ulcer of unspecified heel and midfoot limited to breakdown of skin Non-pressure chronic ulcer of unspecified heel and midfoot with fat layer exposed Non-pressure chronic ulcer of unspecified heel and midfoot with necrosis of muscle Non-pressure chronic ulcer of unspecified heel and midfoot with necrosis of bone Non-pressure chronic ulcer of unspecified heel and midfoot with unspecified severity Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed Non-pressure chronic ulcer of right heel and midfoot with necrosis of muscle Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone Non-pressure chronic ulcer of right heel and midfoot with unspecified severity Non-pressure chronic ulcer of left heel and midfoot limited to breakdown of skin Non-pressure chronic ulcer of left heel and midfoot with fat layer exposed Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle Non-pressure chronic ulcer of left heel and midfoot with necrosis of bone Non-pressure chronic ulcer of left heel and midfoot with unspecified severity Corns and callosities

The codes highlighted in orange indicate the individual ICD-9 code that is being mapped to one or many ICD-10 codes

(Source of ICD-9-CM to ICD-10-CM mappings: CMS.org General Equivalence Mappings (GEMs), 2015) The information in this document is not intended to impart legal advice. This overview is intended as an educational tool only and should not be relied upon as legal or compliance advice. If you have any legal questions about the information contained herein, you should consult your attorney or other professional legal services provider.

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