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Home/Diagnosis/ICD-10 Coding for Right Calf Pain

ICD-10 Coding for Right Calf Pain

M79.642
M79.661
S86.01XA

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

Also Known as:
Pain in Right Calf
Right Lower Leg Pain
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Key Information: ICD-10 Coding for Right Calf Pain

Essential facts and insights about ICD-10 Coding for Right 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 is localized to the calf muscle
documentation:
  • • Documentation specifies 'calf' rather than 'lower leg'

Applicable To

  • • Localized pain in the right calf muscle

Important Notes

  • • Ensure documentation specifies the anatomical location as 'calf' to use this code.

Pain in right lower leg

Billable Code
M79.661
Billable

Diagnostic Criteria

clinical:
  • • Pain spans shin, calf, or non-specific lower leg regions

Applicable To

  • • Pain in unspecified areas of the right lower leg

Important Notes

  • • Use this code when documentation does not specify the pain is in the calf.

Strain of right gastrocnemius muscle, initial encounter

Non-Billable
S86.01XA
Non-Billable

Diagnostic Criteria

clinical:
  • • Mechanism of injury (e.g., sudden push-off)
  • • Imaging confirmation of muscle strain

Applicable To

  • • Acute strain of the right gastrocnemius muscle

Important Notes

  • • Ensure documentation includes mechanism of injury and imaging results.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.11

Acute pain due to trauma

Use if the encounter is primarily for pain management.

Frequently Asked Questions

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

The ICD-10 code for right calf pain is M79.642, which is used when the pain is specifically localized to the calf muscle.

How do you code right calf pain with normal imaging?

Use M79.642 for right calf pain with normal imaging if functional limitation exists, and document any persistent pain limiting ambulation.

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