Common

Podiatry
Diagnosis
Codes
Kelvin A. Barry, DPM
Blue Foot Books
Copyrigtht 2011, By Kelvin A. Barry, Sr.
ALL RIGHTS RESERVED
Reproduction or translation of any part of this work, in whole or in part
by any means whatsoever, is prohibited without written permission from
the author.
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This book was written for the podiatrists all across America
and for medical billers billing for doctors who specialize in foot and
ankle care.
Special thanks to my wife and my three children. You all,
my dear family, are most important to me. I place our futures in
Gods Hands.
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The purpose of this publication is quick reference for podiatric
providers looking up diagnosis codes commonly or not-so-
commonly used billing for podiatric conditions.
It is designed to provide easy to read and understand codes
commonly used by podiatrists every day.
DISCLAIMER
The author makes no representation or guarantee with respect to
the contents herein and specifically disclaims any implied
guarantee of suitability for any specific purpose. The author has no
liability or responsibility to any person or entity with respect to any
loss or damage caused by the use of this publication, including but
not limited to any loss of revenue, interruption of service, loss of
business, or indirect damages resulting from the use of this
program. The author makes no guarantee that the use of this
publication will prevent differences of opinion or disputes with
Medicare or other third party payers.
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Bones of the Foot
1. Tibia
2. Fibula
3. Tarsals
a. Calcaneus
b. Talus
c. Cuboid
d. Navicular
e. Lateral cuneiform
f. Intermediate cuneiform
4. Metatarsals
5. Phalanges
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Seven tarsal bones
Calcaneus, talus, navicular, medial cuneiform,
intermediate cuneiform, lateral cuneiform, cuboid
Five metatarsal bones
Five proximal phalanges
Four middle phalanges (toes 2 to 5)
Five distal phalanges (big toe has only two phalanges)
Twenty-six bones in all, one-eighth of the total number of bones
in the human body
Regions of the foot
Forefoot the five metatarsals and all the phalanges
Midfoot the navicular, cuboid and the three cuneiforms
Rearfoot (hindfoot) the talus and calcaneus
Articulations of the foot
The tibia articulates with the dome of the talus.
The talus articulates with the calcaneus, the main weight-
bearing (and the largest) bone of the foot by way of the
subtalar joint.
The talonavicular and calcaneocuboid joints together form
the midtarsal joint ("Choparts joint").
The fourth and fifth metatarsals articulate with the cuboid
bone.
The first, second and third metatarsals articulate with each
of their respective cuneiform bones.
1
Abrasions/Friction Burns
917.0
Abrasion or friction burn of foot and toe(s) without infection
917.1
Abrasion or friction burn of foot and toe(s) infected
Abscess/Cellulitis
680.7
Carbuncle and furuncle of foot
681.10
Unspecified cellulitis and abscess of toe
681.11
Onychia and paronychia of toe
681.9
Cellulitis and abscess of unspecified digit
682.6
Cellulitis and abscess of leg except foot
682.7
Cellulitis and abscess of foot except toes
683
Acute lymphadenitis
727.89
Abscess/bursa of tendon
2
Apophysitis
732.5
Apophysitis/Juvenile osteochondrosis of foot (calcaneus and
or fifth metatarsal base)
732.9
Unspecified osteochondropathy
Arthritis/Joint Disease
274.01
Acute gouty arthropathy/arthritis
274.02
Chronic gouty arthropathy without tophus (tophi)
274.03
Chronic gouty arthropathy with tophus (tophi)
713.0
Arthropathy associated with other endocrine and metabolic
disorders (i.e. Diabetes)
713.5
Arthropathy associated with neurological disorders (i.e.
Charcot)
714.0
Rheumatoid arthritis
714.89
Other specified inflammatory polyarthropathies
714.9
Unspecified inflammatory polyarthropathy
3
715.17
Osteoarthrosis localized primary involving ankle and foot
715.37
Osteoarthrosis localized not specified whether primary or
secondary involving ankle and foot
715.97
Osteoarthrosis unspecified whether generalized or localized
involving ankle and foot
716.17
Traumatic arthropathy involving ankle and foot
718.07
Articular cartilage disorder involving ankle and foot
718.17
Loose body in ankle and foot joint
718.57
Ankylosis of ankle and foot joint
719.07
Effusion of ankle and foot joint
719.17
Hemarthrosis involving ankle and foot
719.47
Arthralgia or Pain in joint involving ankle and foot
719.57
Stiffness of joint not elsewhere classified involving ankle and
foot
4
Athletes Foot
110.4 Dermatophytosis of foot/Tinea pedis
Blisters
917.2
Blister of foot and toe(s) without infection
917.3
Blister of foot and toe(s) infected
Bunionette (Tailors Bunion)
727.1
Bunionette
Burns
945.01
Burn of unspecified degree of toe(s) (nail)
945.02
Burn of unspecified degree of foot
945.03
Burn of unspecified degree of ankle
945.04
Burn of unspecified degree of lower leg
945.11
Erythema due to first degree burn of toe(s) (nail)
945.12
Erythema due to first degree burn of foot
5
945.13
Erythema due to first degree burn of ankle
945.14
Erythema due to first degree burn of lower leg
945.21
Blisters with epidermal loss due to burn (2nd degree) of
toe(s) (nail)
945.22
Blisters with epidermal loss due to burn (2nd degree) of foot
945.23
Blisters with epidermal loss due to burn (2nd degree) of ankle
945.24
Blisters with epidermal loss due to burn (2nd degree) of lower
leg
945.31
Full-thickness skin loss due to burn (3rd degree nos) of toe(s)
(nail)
945.32
Full-thickness skin loss due to burn (3rd degree nos) of foot
945.33
Full-thickness skin loss due to burn (3rd degree nos) of ankle
945.34
Full-thickness skin loss due to burn (3rd degree nos) of lower
leg
Bursitis/Pre-Bursitic Lesions
727.3
Other bursitis disorders arising from pressure point
726.71
Achilles bursitis
6
Capsulitis/MTPJ Pain
726.90
Enthesopathy of metatarsophalangeal joint
Cavus Foot Deformity
736.73
Cavus deformity of foot, acquired
754.71
Cavus deformity of foot, congenital
Claudication, Intermittent
443.89
Peripheral vascular disease from spasmodic arterial narrowing
involving leg vessels
Clubfoot (Congenital Equinovarus)
754.50
Congenital talipes varus
754.51
Congenital talipes equinovarus
Contracted Toe
735.5
Claw toe (acquired)
7
735.8
Other acquired deformities of toe
Contusion
924.20
Contusion of foot
924.21
Contusion of ankle
924.3
Contusion of toe
924.4
Contusion of multiple sites of lower limb
Cramp
729.82
Cramp of limb
Cyst
706.2
Sebaceous cyst
727.40
Synovial cyst unspecified
727.42
Ganglion cyst of tendon sheath
727.43
Ganglion cyst unspecified
8
727.49
Other ganglion and cyst of synovium tendon and bursa
Dermatitis
691.8
Atopic dermatitis and related conditions
692.4
Contact dermatitis and other eczema due to other chemical
products (Acids, adhesive, alkalis, caustics, dichromate,
insecticide, nylon, plastic, rubber)
692.7
Contact dermatitis and other eczema due to solar radiation
692.84
Contact dermatitis due to animal (cat) (dog) dander
692.9
Contact dermatitis and other eczema unspecified cause
454.1
Stasis Dermatitis due to Varicose veins of lower extremities
with inflammation
Diabetes mellitus
250.00
Diabetes mellitus without complication type 2 or unspecified
type not stated as uncontrolled
250.60
With neurological manifestations/ peripheral
neuropathy
250.70
with peripheral circulatory disorders/ PVD
9
250.80
with other specified manifestations (ulcer,
amputations, etc.)
250.01
Diabetes mellitus without complication type 1 not stated as
uncontrolled
250.61
With neurological manifestations/ peripheral
neuropathy
250.71
with peripheral circulatory disorders/ PVD
250.81
with other specified manifestations (ulcer,
amputations, etc.)
250.02
Diabetes mellitus without complication type 2 or unspecified
type uncontrolled
250.62
With neurological manifestations/ peripheral
neuropathy
250.72
with peripheral circulatory disorders/ PVD
250.82
with other specified manifestations (ulcer,
amputations, etc.)
250.03
Diabetes mellitus without complication type 1 uncontrolled
250.63
With neurological manifestations/ peripheral
neuropathy
250.73
with peripheral circulatory disorders/ PVD
10
250.83
with other specified manifestations (ulcer,
amputations, etc.)
Dislocation
838.00
Closed dislocation of foot unspecified part
838.01
Closed dislocation of tarsal (bone) joint unspecified
838.02
Closed dislocation of midtarsal (joint)
838.03
Closed dislocation of tarsometatarsal (joint)
838.04
Closed dislocation of metatarsal (bone) joint unspecified
838.05
Closed dislocation of metatarsophalangeal (joint)
838.06
Closed dislocation of interphalangeal (joint) foot
Edema
729.81
Swelling of limb
11
Epiphysitis
732.5
Apophysitis/Juvenile osteochondrosis of foot
732.9
Unspecified osteochondropathy
Equinovarus, Acquired
736.70
Unspecified deformity of ankle and foot, acquired
736.71
Acquired equinovarus deformity
736.72
Equinus deformity of foot acquired
Exostosis
726.91
Exostosis of unspecified site
Fibromatosis
728.71
Plantar fascial fibromatosis
A superficial fibromatosis arising from the soft tissue of
the fascia. It is characterized by the presence of
spindle-shaped fibroblasts, and an infiltrative growth
pattern. It predominantly affects adult males
12
Fissures of Skin
709.8
Other specified disorders of skin
709.9
Unspecified disorder of skin and subcutaneous tissue
impairment of health or a condition of abnormal
functioning of the skin.
Any deviation from the normal structure or function of
the skin or subcutaneous tissue that is manifested by a
characteristic set of symptoms and signs. (NCI)
determination of diseases or disorders of the skin
based on symptoms, medical history, risk factors, and
clinical tests.
A disorder involving lesions or eruptions of the skin,
usually without inflammation.
Any deviation from the normal structure or function of
the skin or subcutaneous tissue that is manifested by a
characteristic set of symptoms and signs.
Flatfoot (Pes Planus) Deformity
734
Acquired pes planus
754.61
Congenital pes planus
13
Foreign Body
729.6
Residual foreign body in soft tissue
917.6
Superficial foreign body (splinter) of foot and toe(s) without
major open wound and without infection
917.7
Superficial foreign body (splinter) of foot and toe(s) without
major open wound and infected
Fractures, Ankle
824.0
Fracture of medial malleolus closed
824.1
Fracture of medial malleolus open
824.2
Fracture of lateral malleolus closed
824.3
Fracture of lateral malleolus open
824.4
Bimalleolar fracture closed
824.5
Bimalleolar fracture open
824.6
Trimalleolar fracture closed
14
824.7
Trimalleolar fracture open
Fractures, Foot
825.0
Closed Fracture of calcaneus
825.1
Open Fracture of calcaneus
825.21
Closed Fracture of astragalus
825.22
Closed Fracture of navicular (scaphoid) bone of foot
825.23
Closed Fracture of cuboid bone
825.24
Closed Fracture of cuneiform bone
825.25
Closed Fracture of metatarsal bone(s)
825.29
Other closed fracture of tarsal and metatarsal bones
(accessory bone fractures)
825.31
Open Fracture of astragalus
825.32
Open Fracture of navicular (scaphoid) bone
825.33
Open Fracture of cuboid bone
825.34
Open Fracture of cuneiform bone
825.35
Open Fracture of metatarsal bone(s)
15
Gait Abnormality
781.2
Abnormality of gait
Gangrene
785.4
Gangrene
Granuloma
686.1
Pyogenic granuloma of skin and subcutaneous tissue
A lobular hemangioma arising from the skin and
attached subcutaneous tissues.
A capillary hemangioma characterized by the presence
of a lobular growth pattern.
709.4
Foreign body granuloma of skin and subcutaneous tissue
Hallux Malleus
735.3
Hallux malleus
Hallux Rigidus/Limitus
735.2
Hallux rigidus
16
Hallux Valgus
735.0
Hallux valgus
Hallux Varus
735.1
Hallux varus
Hammertoes
735.4
Hammertoe (acquired)
755.66
Hammertoe (congenital)
Heel Spur Syndrome
726.73
Calcaneal spur
Hematoma
See Contusion
Ingrown Toenail
703.0
Ingrowing toenail
17
Insect Bite
917.4
Insect bite nonvenomous of foot and toe(s) without infection
917.5
Insect bite nonvenomous of foot and toe(s) infected
Keratosis (Callus/Corn)
701.1
Acquired Keratoderma
Laceration
892.0
Open wound of foot except toe(s), without complication
892.1
Open wound of foot except toe(s), complicated
892.2
Open wound of foot except toe(s) alone with tendon
involvement
893.0
Open wound of toe(s), without complication
893.1
Open wound of toe(s), complicated
893.2
Open wound of toe(s) with tendon involvement
18
Ligament Laxity
728.4
Laxity of ligament
Limb Length Discrepancy
736.81
Unequal leg length (acquired)
Lipoma
214.1
Lipoma of other skin and subcutaneous tissue
Lumbar Neuritis/Neuralgia
724.4
Thoracic or lumbosacral neuritis or radiculitis unspecified
724.5
Backache unspecified
Metatarsalgia
See Capsulitis
19
Muscle Spasm
728.85
Spasm of muscle
Muscle Weakness
728.87
Muscle weakness (generalized)
Neuroma
355.6
Lesion of plantar nerve
Onychomycosis
110.1
Dermatophytosis of nail
Osteomyelitis
730.07
Acute osteomyelitis involving ankle and foot
730.17
Chronic osteomyelitis involving ankle and foot
20
Pain in Limb
729.5
Pain in limb
Periostitis
730.37
Periostitis without osteomyelitis involving ankle and foot
Paronychia
681.11
Onychia and paronychia of toe
Peripheral Vascular Disease
443.9
Peripheral vascular disease unspecified
condition in which there is a deviation from or
interruption of the normal structure or function of the
blood vessels outside the heart; diseases of the
peripheral as opposed to the cardiac circulation.
Plantar fasciitis
729.4
Plantar Fasciitis of the foot
Inflammation of fascia.
Inflammation process in fascia.
21
Sinus Tarsi Syndrome
726.79
Enthesopathy of ankle and tarsus
Sprain/Strain of Ankle
845.00
Unspecified site of ankle sprain
845.01
Deltoid ligament (medial) ankle sprain
845.02
Calcaneofibular ligament (lateral) ankle sprain
845.03
Tibiofibular ligament (anterior) sprain distal
845.09
Other ankle sprain
Sprain/Strain of Foot
845.10
Unspecified site of foot sprain
845.11
Tarsometatarsal joint ligament sprain
845.12
Metatarsophalangeal joint sprain
845.13
22
Interphalangeal joint toe sprain
845.19
Other foot sprain
Tarsal Tunnel Syndrome
355.5
Tarsal tunnel syndrome
Tendon Abscess/Bursa
727.89
Other disorders of synovium tendon and bursa
Tenosynovitis/Tendonitis
726.71
Achilles bursitis or tendinitis
727.06
Tenosynovitis of foot and ankle
Ulcers
Coding of diabetic foot ulcers
Underlying disease coded first, 250.xx
Ulcers may be on the basis of diabetic neuropathy
(neuropathic), diabetic peripheral vascular disease
(microvascular ischemic), or both (neuroischemic)
ICD-9-CM directs to fourth digit of .8 (diabetes with
other specified manifestation)
23
Fifth digit of ulcer code (707.1x) allows great specificity
for location of ulceration
707.10
Unspecified ulcer of lower limb
707.13
Ulcer of ankle
707.14
Ulcer of heel and midfoot
707.15
Ulcer of other part of foot
454.2
Venous stasis ulcer and inflammation of lower extremities
Varicose Veins
454.1
Varicose veins of lower extremities with inflammation
454.8
Varicose veins of lower extremities with other complications
454.9
Asymptomatic varicose veins
Venous Insufficiency
459.81
Venous (peripheral) insufficiency unspecified
24
Verruca Plantaris
078.12
Plantar wart
216.7
Benign neoplasm of skin of lower limb including hip
216.9
Benign neoplasm of skin site unspecified
Abnormal growth of the cells that comprise the tissues
of the skin, without any evidence of malignancy.
25
Sources
1. http://www.icd9coding.com
2. http://www.icd9data.com
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