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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 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
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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) 5 707.15 Ulcer of other part of foot I70.235
Atherosclerosis of native arteries of right leg w/ulceration of other part of foot
I70.245
Atherosclerosis of native arteries of left leg w/ulceration of other part of foot
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1-20 ICD-9 Description ICD-9 ICD-10 Description ICD-10
I70.335
Atherosclerosis of unspecified type of bypass graft(s) of the right leg w/ulceration of other part of foot
I70.345
Atherosclerosis of unspecified type of bypass graft(s) of the left leg w/ulceration of other part of foot
I70.435
Atherosclerosis of autologous vein bypass graft(s) of the right leg w/ulceration of other part of foot
I70.445
Atherosclerosis of autologous vein bypass graft(s) of the left leg w/ulceration of other part of foot
I70.535
Atherosclerosis of nonautologous biological bypass graft(s) of the right leg w/ulceration of other part of foot
I70.545
Atherosclerosis of nonautologous biological bypass graft(s) of the left leg w/ulceration of other part of foot
I70.635
Atherosclerosis of nonbiological bypass graft(s) of the right leg w/ulceration of other part of foot
I70.645
Atherosclerosis of nonbiological bypass graft(s) of the left leg w/ulceration of other part of foot
I70.735
Atherosclerosis of other type of bypass graft(s) of the right leg w/ulceration of other part of foot
I70.745
Atherosclerosis of other type of bypass graft(s) of the left leg w/ulceration of other part of foot
L97.501
Non-pressure chronic ulcer of other part of unspecified foot limited to breakdown of skin
L97.502
Non-pressure chronic ulcer of other part of unspecified foot w/fat layer exposed
L97.503
Non-pressure chronic ulcer of other part of unspecified foot w/necrosis of muscle
L97.504
Non-pressure chronic ulcer of other part of unspecified foot w/necrosis of bone
L97.509
Non-pressure chronic ulcer of other part of unspecified foot w/unspecified severity
L97.511
Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin
L97.512
Non-pressure chronic ulcer of other part of right foot w/fat layer exposed
L97.513
Non-pressure chronic ulcer of other part of right foot w/necrosis of muscle
L97.514
Non-pressure chronic ulcer of other part of right foot w/necrosis of bone
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1-20 ICD-9 Description ICD-9 ICD-10 Description ICD-10
L97.519
Non-pressure chronic ulcer of other part of right foot w/unspecified severity
L97.521
Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin
L97.522
Non-pressure chronic ulcer of other part of left foot w/fat layer exposed
L97.523
Non-pressure chronic ulcer of other part of left foot w/necrosis of muscle
L97.524
Non-pressure chronic ulcer of other part of left foot w/necrosis of bone
L97.529
Non-pressure chronic ulcer of other part 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
M25.579
Pain in unspecified ankle and joints of unspecified foot
10 735.4 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
11 25000
Diabetes mellitus without mention of complication, type II or unspecified type,
not stated as uncontrolled E11.9
Type 2 diabetes mellitus without complications
E13.9
Other specified diabetes mellitus without complications
12 078.12 Plantar wart B07.0 Plantar wart
13 078.19 Other specified viral warts B07.8 Other specified viral warts 14 355.6 Lesion of plantar nerve G57.60
Lesion of plantar nerve, unspecified lower limb
G57.61 Lesion of plantar nerve, right lower limb
G57.62 Lesion of plantar nerve, left lower limb
15 250.60
Diabetes with neurological
manifestations, type II or unspecified
type, not stated as uncontrolled E11.40
Type 2 diabetes mellitus with diabetic neuropathy, unspecified
E11.41
Type 2 diabetes mellitus with diabetic mononeuropathy
E11.42
Type 2 diabetes mellitus with diabetic polyneuropathy
E11.43
Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy
E11.49
Type 2 diabetes mellitus with other diabetic neurological complication
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1-20 ICD-9 Description ICD-9 ICD-10 Description ICD-10
E11.610
Type 2 diabetes mellitus with diabetic neuropathic arthropathy
E13.40
Other specified diabetes mellitus with diabetic neuropathy, unspecified
E13.41
Other specified diabetes mellitus with diabetic mononeuropathy
E13.42
Other specified diabetes mellitus with diabetic polyneuropathy
E13.43
Other specified diabetes mellitus with diabetic autonomic (poly)neuropathy
E13.44
Other specified diabetes mellitus with diabetic amyotrophy
E13.49
Other specified diabetes mellitus with other diabetic neurological complication
E13.610
Other specified diabetes mellitus with 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 19 707.14 Ulcer of heel and midfoot I70.234
Atherosclerosis of native arteries of right leg with ulceration of heel and midfoot
I70.244
Atherosclerosis of native arteries of left leg with ulceration of heel and midfoot
I70.334
Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.344
Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.434
Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.444
Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.534
Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.544
Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.634
Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.644
Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.734
Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of heel and midfoot
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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.
1-20 ICD-9 Description ICD-9 ICD-10 Description ICD-10
I70.744
Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of heel and midfoot
L97.401
Non-pressure chronic ulcer of unspecified heel and midfoot limited to breakdown of skin
L97.402
Non-pressure chronic ulcer of unspecified heel and midfoot with fat layer exposed
L97.403
Non-pressure chronic ulcer of unspecified heel and midfoot with necrosis of muscle
L97.404
Non-pressure chronic ulcer of unspecified heel and midfoot with necrosis of bone
L97.409
Non-pressure chronic ulcer of unspecified heel and midfoot with unspecified severity
L97.411
Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin
L97.412
Non-pressure chronic ulcer of right heel and midfoot with fat layer exposed
L97.413
Non-pressure chronic ulcer of right heel and midfoot with necrosis of muscle
L97.414
Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone
L97.419
Non-pressure chronic ulcer of right heel and midfoot with unspecified severity
L97.421
Non-pressure chronic ulcer of left heel and midfoot limited to breakdown of skin
L97.422
Non-pressure chronic ulcer of left heel and midfoot with fat layer exposed
L97.423
Non-pressure chronic ulcer of left heel and midfoot with necrosis of muscle
L97.424
Non-pressure chronic ulcer of left heel and midfoot with necrosis of bone
L97.429
Non-pressure chronic ulcer of left heel and midfoot with unspecified severity 20 700 Corns and callosities L84 Corns and callosities
