ICD-10 Code M72.2
Plantar fascial fibromatosis
What is the code M72.2?
The ICD-10-CM code M72.2 is defined as “plantar fascial fibromatosis,” but it is most commonly used to report the included diagnosis, “plantar fasciitis.” Plantar fasciitis is an inflammation of the thick band of tissue running along the bottom of the foot from the heel to the toes.
Detailed description of M72.2
M72.2 is defined as the more rare plantar fascial fibromatosis, which is a disorder in which nodules develop on the plantar fascia. The code also includes the more common condition, plantar fasciitis. Both of these conditions can cause the patient significant pain, often affecting their ability to walk or run.
Symptoms commonly associated with M72.2
Patients with plantar fascial fibromatosis or plantar fasciitis may experience:
- Pain in the arch of the foot, particularly when walking or standing
- Palpable lumps or nodules in the sole of the foot
- Tightness or stiffness in the arch of the foot
- Difficulty walking or standing for extended periods
- Swelling in the affected area
Related and similar ICD-10-CM codes
- M72.0: Palmar fascial fibromatosis (Dupuytren)
- M72.1: Knuckle pads
- M72.4: Pseudosarcomatous fibromatosis
- M72.6: Necrotizing fasciitis
Appropriate usage of M72.2 for billing
When billing for plantar fascial fibromatosis or plantar fasciitis using ICD-10-CM code M72.2, it is important to ensure that the diagnosis is documented by the provider in the assessment portion of the note.
Instructional guidelines for coding M72.2
- Use M72.2 for plantar fascial fibromatosis and not for other types of fibromatosis.
- Include any relevant additional codes for associated symptoms or conditions that may require separate treatment or management.
- A provider may consider imaging studies, such as ultrasound or MRI, to confirm the presence of fibrous nodules in the plantar fascia. Plantar fasciitis is commonly diagnosed clinically.
Common pitfalls in coding with M72.2
- Misidentifying similar conditions such as other soft tissue disorders in the foot, which have different ICD-10-CM codes.
- Failing to document all relevant clinical findings and diagnostic tests, which can lead to incorrect coding or claim denials.
- Using M72.2 for generalized foot pain without specific notation of fibromatosis or fasciitis.
Key resources for M72.2 coding
- ICD-10-CM Official Guidelines for Coding and Reporting
- American Academy of Orthopaedic Surgeons (AAOS) guidelines on foot and ankle conditions
- Clinical practice guidelines from the American Podiatric Medical Association (APMA)
- Relevant medical literature and research articles on Plantar Fascial Fibromatosis and plantar fasciitis
Conclusion
ICD-10-CM code M72.2 is designated for plantar fascial fibromatosis, a condition marked by the formation of fibrous nodules in the plantar fascia, and plantar fasciitis. Accurate coding and documentation are critical for effective billing and management of this condition. By adhering to best practices and guidelines, healthcare providers can ensure proper diagnosis, treatment, and reimbursement for services related to M72.2.
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