Podiatry Specialty ICD-10-CM Coding Tip Sheet

1 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).

2 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.

3 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 Pain in right foot Pain in left foot The top 20 Podiatry Specialty ICD-9 to ICD-10 mappings is found in the chart below.

4 Top 1-20 ICD-9 Description ICD-9 ICD-10 Description ICD-10 1 Dermatophytosis of nail Tinea unguium 2 Ingrowing nail Ingrowing nail 3 Plantar fascial fibromatosis Plantar fascial fibromatosis 4 Pain in limb Pain in right arm Pain in left arm 2 Top 1-20 ICD-9 Description ICD-9 ICD-10 Description ICD-10 Pain in arm, unspecified Pain in right leg Pain in left leg Pain in leg, unspecified Pain in unspecified limb Pain in right upper arm Pain in left upper arm Pain in unspecified upper arm Pain in right forearm Pain in left forearm Pain in unspecified forearm Pain in right hand Pain in left hand Pain in unspecified hand Pain in right finger(s) Pain in left finger (s) Pain in unspecified finger(s)

5 Pain in right thigh Pain in left thigh Pain in unspecified thigh Pain in right lower leg Pain in left lower leg Pain in unspecified lower leg Pain in right foot Pain in left foot Pain in unspecified foot Pain in right toe(s) Pain in left toe(s) Pain in unspecified toe(s) 5 Ulcer of other part of foot 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 3 Top 1-20 ICD-9 Description ICD-9 ICD-10 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)

6 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)

7 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 4 Top 1-20 ICD-9 Description ICD-9 ICD-10 Description ICD-10 Non-pressure chronic ulcer of other part of right foot w/unspecified severity Non-pressure chronic ulcer of

8 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 6 Enthesopathy of unspecified site Enthesopathy unspecified 7 Other enthesopathy of ankle & tarsus 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 8 Hallux valgus (acquired) Hallux valgus (acquired) unspecified foot Hallux valgus (acquired) right foot Hallux valgus (acquired)

9 Left foot 9 Pain in joint of ankle & 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 10 Other hammer toe (acquired) Other hammer toes (acquired) unspecified foot Other hammer toes (acquired) right foot Other hammer toes (acquired) left foot 11 25000 Diabetes mellitus without mention of complication, type II or unspecified type, not stated as uncontrolled Type 2 diabetes mellitus without complications Other specified diabetes mellitus without complications 12 Plantar wart Plantar wart 13 Other specified viral warts Other specified viral warts 14 Lesion of plantar nerve Lesion of plantar nerve, unspecified lower limb Lesion of plantar nerve, right lower limb Lesion of plantar nerve.

10 Left lower limb 15 Diabetes with neurological manifestations, type II or unspecified type, not stated as uncontrolled 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 5 Top 1-20 ICD-9 Description ICD-9 ICD-10 Description ICD-10 Type 2 diabetes mellitus with diabetic neuropathic arthropathy