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Home/Diagnosis/ICD-10 Coding for Calf Pain

ICD-10 Coding for Calf Pain

M79.642
M79.652
I80.211

Complete ICD-10-CM coding and documentation guide for icd-10 coding for calf pain includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Lower Leg Pain
Gastrocnemius Pain
Soleus Pain
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Key Information: ICD-10 Coding for Calf Pain

Essential facts and insights about ICD-10 Coding for Calf Pain

Use ICD-10 code M79.642 for pain in right calf, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pain in right calf

Billable Code
M79.642
Billable

Diagnostic Criteria

clinical:
  • • Pain localized to the right calf with no other specific diagnosis
documentation:
  • • Laterality must be specified

Applicable To

  • • Right calf pain

Important Notes

  • • Ensure laterality is documented to avoid unspecified codes.

Pain in left calf

Billable Code
M79.652
Billable

Diagnostic Criteria

clinical:
  • • Pain localized to the left calf with no other specific diagnosis
documentation:
  • • Laterality must be specified

Applicable To

  • • Left calf pain

Important Notes

  • • Ensure laterality is documented to avoid unspecified codes.

Phlebitis and thrombophlebitis of right femoral vein

Billable Code
I80.211
Billable

Diagnostic Criteria

clinical:
  • • DVT is confirmed as the cause of calf pain
documentation:
  • • Doppler ultrasound confirmation
  • • Clinical signs of DVT

Applicable To

  • • DVT of right calf veins

Important Notes

  • • Ensure imaging confirmation is documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

I87.2

Chronic venous insufficiency

Use if chronic venous insufficiency is the underlying cause of calf pain.

L97.212

Non-pressure chronic ulcer of left calf

Use if an ulcer is present as a complication of the calf pain.

R60.0

Localized edema

Use if edema is present as a symptom of DVT.

Frequently Asked Questions

What is the ICD-10 code for right calf pain?

The ICD-10 code for right calf pain is M79.642. It is used when the pain is localized to the right calf and no other specific condition is identified.

How do you code left calf pain?

Left calf pain is coded as M79.652 in ICD-10. Ensure documentation specifies the pain is localized to the left calf.

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