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 B35.1 Tinea unguium 2 703.0 Ingrowing nail L60.0 Ingrowing nail 3 728.71 Plantar fascial fibromatosis M72.2 Plantar fascial fibromatosis 4 729.5 Pain in limb M79.601 Pain in right arm M79.602 Pain in left arm 1 Top 1-20 ICD-9 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 5 707.15 Ulcer of other part of foot I70.235 leg w/ulceration of other part of foot Atherosclerosis of native arteries of left I70.245 leg w/ulceration of other part of foot 2 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 I70.335 w/ulceration of other part of foot Atherosclerosis of unspecified type of bypass graft(s) of the left leg w/ulceration I70.345 of other part of foot Atherosclerosis of autologous vein bypass graft(s) of the right leg I70.435 w/ulceration of other part of foot Atherosclerosis of autologous vein bypass graft(s) of the left leg w/ulceration I70.445 of other part of foot Atherosclerosis of nonautologous biological bypass graft(s) of the right leg I70.535 w/ulceration of other part of foot Atherosclerosis of nonautologous biological bypass graft(s) of the left leg I70.545 w/ulceration of other part of foot Atherosclerosis of nonbiological bypass graft(s) of the right leg w/ulceration of I70.635 other part of foot Atherosclerosis of nonbiological bypass graft(s) of the left leg w/ulceration of other I70.645 part of foot Atherosclerosis of other type of bypass graft(s) of the right leg w/ulceration of I70.735 other part of foot Atherosclerosis of other type of bypass graft(s) of the left leg w/ulceration of other I70.745 part of foot Non-pressure chronic ulcer of other part of unspecified foot limited to breakdown L97.501 of skin Non-pressure chronic ulcer of other part L97.502 of unspecified foot w/fat layer exposed Non-pressure chronic ulcer of other part L97.503 of unspecified foot w/necrosis of muscle Non-pressure chronic ulcer of other part L97.504 of unspecified foot w/necrosis of bone Non-pressure chronic ulcer of other part L97.509 of unspecified foot w/unspecified severity Non-pressure chronic ulcer of other part L97.511 of right foot limited to breakdown of skin Non-pressure chronic ulcer of other part L97.512 of right foot w/fat layer exposed Non-pressure chronic ulcer of other part L97.513 of right foot w/necrosis of muscle Non-pressure chronic ulcer of other part L97.514 of right foot w/necrosis of bone 3 Top 1-20 ICD-9 Description ICD-9 ICD-10 Description ICD-10 Non-pressure chronic ulcer of other part L97.519 of right foot w/unspecified severity Non-pressure chronic ulcer of other part L97.521 of left foot limited to breakdown of skin Non-pressure chronic ulcer of other part L97.522 of left foot w/fat layer exposed Non-pressure chronic ulcer of other part L97.523 of left foot w/necrosis of muscle Non-pressure chronic ulcer of other part L97.524 of left foot w/necrosis of bone Non-pressure chronic ulcer of other part L97.529 of left foot w/unspecified severity 6 726.90 Enthesopathy of unspecified site M77.9 Enthesopathy unspecified 7 726.79 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 8 735.0 Hallux valgus (acquired) M20.10 Hallux valgus (acquired) unspecified foot M20.11 Hallux valgus (acquired) right foot M20.12 Hallux valgus (acquired) left foot 9 719.47 Pain in joint of ankle & foot M25.571 Pain in right ankle and joints of right foot M25.572 Pain in leftt ankle and joints of left foot Pain in unspecified ankle and joints of M25.579 unspecified foot Other hammer toes (acquired) 10 735.4 Other hammer toe (acquired) M20.40 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 11 25000 not stated as uncontrolled E11.9 complications Other specified diabetes mellitus without E13.9 complications 12 078.12 Plantar wart B07.0 Plantar wart 13 078.19 Other specified viral warts B07.8 Other specified viral warts Lesion of plantar nerve, unspecified lower 14 355.6 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 2 diabetes mellitus with diabetic 15 250.60 type, not stated as uncontrolled E11.40 neuropathy, unspecified Type 2 diabetes mellitus with diabetic E11.41 mononeuropathy Type 2 diabetes mellitus with diabetic E11.42 polyneuropathy Type 2 diabetes mellitus with diabetic E11.43 autonomic (poly)neuropathy Type 2 diabetes mellitus with other E11.49 diabetic neurological complication 4 Top 1-20 ICD-9 Description ICD-9 ICD-10 Description ICD-10 Type 2 diabetes mellitus with diabetic E11.610 neuropathic arthropathy Other specified diabetes mellitus with E13.40 diabetic neuropathy, unspecified Other specified diabetes mellitus with E13.41 diabetic mononeuropathy Other specified diabetes mellitus with E13.42 diabetic polyneuropathy Other specified diabetes mellitus with E13.43 diabetic autonomic (poly)neuropathy Other specified diabetes mellitus with E13.44 diabetic amyotrophy Other specified diabetes mellitus with E13.49 other diabetic neurological complication Other specified diabetes mellitus with E13.610 diabetic neuropathic arthropathy 16 726.73 Calcaneal spur M77.30 Calcaneal spur, unspecified foot M77.31 Calcaneal spur, right foot M77.32 Calcaneal spur, left foot 17 443.9 Peripheral vascular disease, unspecified I73.9 Peripheral vascular disease, unspecified 18 681.11 Onychia and paronychia of toe L03.031 Cellulitis of right toe L03.032 Cellulitis of left toe L03.039 Cellulitis of unspecified toe Atherosclerosis of native arteries of right 19 707.14 Ulcer of heel and midfoot I70.234 leg with ulceration of heel and midfoot Atherosclerosis of native arteries of left I70.244 leg with ulceration of heel and midfoot Atherosclerosis of unspecified type of bypass graft(s) of the right leg with I70.334 ulceration of heel and midfoot Atherosclerosis of unspecified type of bypass graft(s) of the left leg with I70.344 ulceration of heel and midfoot Atherosclerosis of autologous vein bypass graft(s) of the right leg with I70.434 ulceration of heel and midfoot Atherosclerosis of autologous vein bypass graft(s) of the left leg with I70.444 ulceration of heel and midfoot Atherosclerosis of nonautologous biological bypass graft(s) of the right leg I70.534 with ulceration of heel and midfoot Atherosclerosis