Podiatry Specialty ICD-10-CM Coding Tip Sheet Overview of Key Chapter Updates for Podiatry and Top 20 codes

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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 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 M Pain in right foot M Pain in left foot The top 20 Podiatry Specialty ICD-9 to ICD-10 mappings is found in the chart below. Top Dermatophytosis of nail B35.1 Tinea unguium Ingrowing nail L60.0 Ingrowing nail Plantar fascial fibromatosis M72.2 Plantar fascial fibromatosis Pain in limb M Pain in right arm 1 M Pain in left arm

2 2 M Pain in arm, unspecified M Pain in right leg M Pain in left leg M Pain in leg, unspecified M Pain in unspecified limb M Pain in right upper arm M Pain in left upper arm M Pain in unspecified upper arm M Pain in right forearm M Pain in left forearm M Pain in unspecified forearm M Pain in right hand M Pain in left hand M Pain in unspecified hand M Pain in right finger(s) M Pain in left finger (s) M Pain in unspecified finger(s) M Pain in right thigh M Pain in left thigh M Pain in unspecified thigh M Pain in right lower leg M Pain in left lower leg M Pain in unspecified lower leg M Pain in right foot M Pain in left foot M Pain in unspecified foot M Pain in right toe(s) M Pain in left toe(s) M Pain in unspecified toe(s) Ulcer of other part of foot I Atherosclerosis of native arteries of right leg I Atherosclerosis of native arteries of left leg

3 I bypass graft(s) of the right leg I bypass graft(s) of the left leg w/ulceration of other part of foot I bypass graft(s) of the right leg I bypass graft(s) of the left leg w/ulceration of other part of foot I biological bypass graft(s) of the right leg I biological bypass graft(s) of the left leg I graft(s) of the right leg w/ulceration of other part of foot I graft(s) of the left leg w/ulceration of other part of foot I graft(s) of the right leg w/ulceration of other part of foot I graft(s) of the left leg w/ulceration of other part of foot L of unspecified foot limited to breakdown of skin L of unspecified foot w/fat layer exposed L of unspecified foot w/necrosis of muscle L of unspecified foot w/necrosis of bone L of unspecified foot w/unspecified severity L of right foot limited to breakdown of skin L of right foot w/fat layer exposed L of right foot w/necrosis of muscle L of right foot w/necrosis of bone 3

4 L of right foot w/unspecified severity L of left foot limited to breakdown of skin L of left foot w/fat layer exposed L of left foot w/necrosis of muscle L of left foot w/necrosis of bone L of left foot w/unspecified severity Enthesopathy of unspecified site M77.9 Enthesopathy unspecified Other enthesopathy of ankle & tarsus M76.70 Peroneal tendinitis, unspecified leg M76.71 Peroneal tendinitis, right leg M76.72 Peroneal tendinitis, left leg M77.50 Other enthesopathy of unspecified foot M77.51 Other enthesopathy of right foot M77.52 Other enthesopathy of left foot Hallux valgus (acquired) M20.10 Hallux valgus (acquired) unspecified foot M20.11 Hallux valgus (acquired) right foot M20.12 Hallux valgus (acquired) left foot Pain in joint of ankle & foot M Pain in right ankle and joints of right foot M Pain in leftt ankle and joints of left foot M Pain in unspecified ankle and joints of unspecified foot Other hammer toe (acquired) M20.40 Other hammer toes (acquired) unspecified foot M20.41 Other hammer toes (acquired) right foot M20.42 Other hammer toes (acquired) left foot Diabetes mellitus without mention of complication, type II or unspecified type, Type 2 diabetes mellitus without not stated as uncontrolled E11.9 complications out E13.9 complications Plantar wart B07.0 Plantar wart Other specified viral warts B07.8 Other specified viral warts Lesion of plantar nerve, unspecified lower Lesion of plantar nerve G57.60 limb G57.61 Lesion of plantar nerve, right lower limb G57.62 Lesion of plantar nerve, left lower limb Diabetes with neurological manifestations, type II or unspecified type, not stated as uncontrolled E E11.41 E11.42 E11.43 E11.49 neuropathy, unspecified mononeuropathy polyneuropathy autonomic (poly)neuropathy Type 2 diabetes mellitus with other diabetic neurological complication

5 E neuropathic arthropathy E13.40 diabetic neuropathy, unspecified E13.41 diabetic mononeuropathy E13.42 diabetic polyneuropathy E13.43 diabetic autonomic (poly)neuropathy E13.44 diabetic amyotrophy E13.49 other diabetic neurological complication E diabetic neuropathic arthropathy Calcaneal spur M77.30 Calcaneal spur, unspecified foot 5 M77.31 Calcaneal spur, right foot M77.32 Calcaneal spur, left foot Peripheral vascular disease, unspecified I73.9 Peripheral vascular disease, unspecified Onychia and paronychia of toe L Cellulitis of right toe L Cellulitis of left toe L Cellulitis of unspecified toe Ulcer of heel and midfoot I Atherosclerosis of native arteries of right leg with I Atherosclerosis of native arteries of left leg with I bypass graft(s) of the right leg with I bypass graft(s) of the left leg with I bypass graft(s) of the right leg with I bypass graft(s) of the left leg with I biological bypass graft(s) of the right leg with I biological bypass graft(s) of the left leg with I graft(s) of the right leg with ulceration of heel and midfoot I graft(s) of the left leg with ulceration of heel and midfoot I graft(s) of the right leg with ulceration of heel and midfoot

6 I graft(s) of the left leg with ulceration of heel and midfoot L heel and midfoot limited to breakdown of skin L heel and midfoot with fat layer exposed L heel and midfoot with necrosis of muscle L heel and midfoot with necrosis of bone L heel and midfoot with unspecified severity L and midfoot limited to breakdown of skin L and midfoot with fat layer exposed L and midfoot with necrosis of muscle L and midfoot with necrosis of bone L and midfoot with unspecified severity L and midfoot limited to breakdown of skin L and midfoot with fat layer exposed L and midfoot with necrosis of muscle L and midfoot with necrosis of bone L and midfoot with unspecified severity Corns and callosities L84 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. 6

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