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Home/Diagnosis/ICD-10 Coding for Heel Pain

ICD-10 Coding for Heel Pain

M72.2
M77.3x

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

Also Known as:
Plantar Fasciitis
Calcaneal Spur
Heel Spur
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Key Information: ICD-10 Coding for Heel Pain

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

Use ICD-10 code M72.2 for plantar fasciitis, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Plantar Fasciitis

Billable Code
M72.2
Billable

Diagnostic Criteria

clinical:
  • • Presence of morning pain and tenderness at medial calcaneal tubercle.
documentation:
  • • Ultrasound evidence of plantar fascia thickening.

Applicable To

  • • Heel pain due to plantar fascia inflammation

Important Notes

  • • Ensure documentation specifies the presence of classic plantar fasciitis symptoms.

Calcaneal Spur

Non-Billable
M77.3x
Non-Billable

Diagnostic Criteria

clinical:
  • • Radiographic evidence of spur
  • • Pain localized to insertion site

Applicable To

  • • Heel spur

Important Notes

  • • Document the presence of a spur and its symptomatic nature.
Ancillary Codes

Additional codes that may be used with this diagnosis

M77.3x

Calcaneal Spur

Use alongside M72.2 if both conditions are present.

Frequently Asked Questions

What is the ICD-10 code for plantar fasciitis?

The ICD-10 code for plantar fasciitis is M72.2, used when clinical diagnosis is confirmed.

How do you code heel pain with a calcaneal spur?

Use M77.3x for calcaneal spur if X-ray confirms the spur and it is symptomatic.

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