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Home/Diagnosis/ICD-10 Coding for Pedal Edema

ICD-10 Coding for Pedal Edema

R60.0
R60.1
I87.1

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

Also Known as:
Foot Swelling
Lower Extremity Edema
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Key Information: ICD-10 Coding for Pedal Edema

Essential facts and insights about ICD-10 Coding for Pedal Edema

Use ICD-10 code R60.0 for localized edema, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Localized edema

Billable Code
R60.0
Billable

Diagnostic Criteria

  • • Edema localized to one limb without systemic symptoms.

Applicable To

  • • Unilateral pedal edema

Important Notes

  • • Ensure documentation specifies the location and absence of systemic involvement.

Generalized edema

Billable Code
R60.1
Billable

Diagnostic Criteria

  • • Use when edema is widespread and involves systemic symptoms.

Applicable To

  • • Bilateral pedal edema

Important Notes

  • • Document systemic symptoms and bilateral involvement clearly.

Chronic venous hypertension (idiopathic) with edema

Billable Code
I87.1
Billable

Diagnostic Criteria

  • • Use when edema is due to chronic venous hypertension.

Applicable To

  • • Venous insufficiency with edema

Important Notes

  • • Ensure venous insufficiency is confirmed via imaging.
Ancillary Codes

Additional codes that may be used with this diagnosis

I87.1

Chronic venous hypertension with edema

Use when edema is due to venous insufficiency.

I50.9

Heart failure, unspecified

Use when edema is due to heart failure.

L97.929

Non-healing ulcer of unspecified part of left lower leg

Use when stasis ulcers are present.

Frequently Asked Questions

What is the ICD-10 code for pedal edema?

The ICD-10 code for localized pedal edema is R60.0, while generalized pedal edema is coded as R60.1.

How do you document pedal edema?

Document pedal edema by specifying laterality, pitting vs. non-pitting, and any systemic symptoms. Include diagnostic tests if applicable.

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