Podiatry Specialty ICD-10-CM Coding Tip Sheet - BCBSM

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 Description ICD-9

ICD-10 Description ICD-10

1

110.1 Dermatophytosis of nail

2

703.0 Ingrowing nail

3 728.71 Plantar fascial fibromatosis

4

729.5 Pain in limb

B35.1 Tinea unguium L60.0 Ingrowing nail M72.2 Plantar fascial fibromatosis M79.601 Pain in right arm

M79.602 Pain in left arm

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ICD-9 Description ICD-9

5 707.15 Ulcer of other part of foot

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 I70.235 I70.245

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

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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

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

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Top 1-20

ICD-9 Description ICD-9

6 726.90 Enthesopathy of unspecified site 7 726.79 Other enthesopathy of ankle & tarsus

8

735.0 Hallux valgus (acquired)

9 719.47 Pain in joint of ankle & foot

10

735.4 Other hammer toe (acquired)

Diabetes mellitus without mention of complication, type II or unspecified type, 11 25000 not stated as uncontrolled

12 078.12 Plantar wart 13 078.19 Other specified viral warts

14

355.6 Lesion of plantar nerve

ICD-10

L97.519

L97.521

L97.522

L97.523

L97.524

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

M25.579

M20.40 M20.41 M20.42

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

E11.9

E13.9 B07.0 B07.8

G57.60 G57.61 G57.62

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

Diabetes with neurological manifestations, type II or unspecified 15 250.60 type, not stated as uncontrolled

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

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

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ICD-9 Description ICD-9

16 726.73 Calcaneal spur

17

443.9 Peripheral vascular disease, unspecified

18 681.11 Onychia and paronychia of toe

19 707.14 Ulcer of heel and midfoot

5

ICD-10 E11.610

E13.40 E13.41 E13.42 E13.43 E13.44 E13.49 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

I70.644

I70.734

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

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ICD-9 Description ICD-9

20

700 Corns and callosities

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 L97.429

L84

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: 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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