common podiatry diagnosis codes

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Common

Podiatry

Diagnosis

CodesKelvin A. Barry, DPM

Blue Foot Books



Copyrigtht © 2011, By Kelvin A. Barry, Sr.

ALL RIGHTS RESERVED

Reproduction or translation of any part of this work, in whole or in part

by any means whatsoever, is prohibited without written permission from

the author.



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This book was written for the podiatrists all across America

and for medical billers billing for doctors who specialize in foot and

ankle care.

Special thanks to my wife and my three children. You all,

my dear family, are most important to me. I place our futures inGod’s Hands.



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The purpose of this publication is quick reference for podiatric

providers looking up diagnosis codes commonly or not-so-

commonly used billing for podiatric conditions.

It is designed to provide easy to read and understand codes

commonly used by podiatrists every day.

DISCLAIMER

The author makes no representation or guarantee with respect to

the contents herein and specifically disclaims any implied

guarantee of suitability for any specific purpose. The author has no

liability or responsibility to any person or entity with respect to any

loss or damage caused by the use of this publication, including but

not limited to any loss of revenue, interruption of service, loss of

business, or indirect damages resulting from the use of this

program. The author makes no guarantee that the use of thispublication will prevent differences of opinion or disputes with

Medicare or other third party payers.



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Bones of the Foot

1. Tibia

2. Fibula

3. Tarsals

a. Calcaneus

b. Talus

c. Cuboid

d. Naviculare. Lateral cuneiform

f. Intermediate cuneiform

4. Metatarsals

5. Phalanges



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Seven tarsal bones

• Calcaneus, talus, navicular, medial cuneiform,

intermediate cuneiform, lateral cuneiform, cuboid

• Five metatarsal bones

• Five proximal phalanges

• Four middle phalanges (toes 2 to 5)

• Five distal phalanges (big toe has only two phalanges)

Twenty-six bones in all, one-eighth of the total number of bones

in the human body

Regions of the foot

• Forefoot – the five metatarsals and all the phalanges

• Midfoot – the navicular, cuboid and the three cuneiforms

• Rearfoot (hindfoot) – the talus and calcaneus

Articulations of the foot

The tibia articulates with the dome of the talus.

The talus articulates with the calcaneus, the main weight-

bearing (and the largest) bone of the foot by way of the

subtalar joint.

The talonavicular and calcaneocuboid joints together formthe midtarsal joint ("Chopart’s joint").

The fourth and fifth metatarsals articulate with the cuboid

bone.

The first, second and third metatarsals articulate with each

of their respective cuneiform bones.



1

Abrasions/Friction Burns

917.0

Abrasion or friction burn of foot and toe(s) without infection

917.1Abrasion or friction burn of foot and toe(s) infected

Abscess/Cellulitis

680.7Carbuncle and furuncle of foot

681.10Unspecified cellulitis and abscess of toe

681.11

Onychia and paronychia of toe

681.9

Cellulitis and abscess of unspecified digit

682.6Cellulitis and abscess of leg except foot

682.7

Cellulitis and abscess of foot except toes

683

Acute lymphadenitis

727.89Abscess/bursa of tendon



2

Apophysitis

732.5

Apophysitis/Juvenile osteochondrosis of foot (calcaneus andor fifth metatarsal base)

732.9

Unspecified osteochondropathy

Arthritis/Joint Disease

274.01Acute gouty arthropathy/arthritis

274.02

Chronic gouty arthropathy without tophus (tophi)

274.03

Chronic gouty arthropathy with tophus (tophi)

713.0Arthropathy associated with other endocrine and metabolic

disorders (i.e. Diabetes)

713.5

Arthropathy associated with neurological disorders (i.e.

Charcot)

714.0

Rheumatoid arthritis

714.89

Other specified inflammatory polyarthropathies

714.9Unspecified inflammatory polyarthropathy



3

715.17

Osteoarthrosis localized primary involving ankle and foot

715.37

Osteoarthrosis localized not specified whether primary orsecondary involving ankle and foot

715.97

Osteoarthrosis unspecified whether generalized or localizedinvolving ankle and foot

716.17

Traumatic arthropathy involving ankle and foot

718.07

Articular cartilage disorder involving ankle and foot

718.17

Loose body in ankle and foot joint

718.57Ankylosis of ankle and foot joint

719.07

Effusion of ankle and foot joint

719.17

Hemarthrosis involving ankle and foot

719.47Arthralgia or Pain in joint involving ankle and foot

719.57Stiffness of joint not elsewhere classified involving ankle and

foot



4

Athletes’ Foot

110.4 Dermatophytosis of foot/Tinea pedis

Blisters

917.2Blister of foot and toe(s) without infection

917.3

Blister of foot and toe(s) infected

Bunionette (Tailor’s Bunion)

727.1Bunionette

Burns

945.01Burn of unspecified degree of toe(s) (nail)

945.02Burn of unspecified degree of foot

945.03Burn of unspecified degree of ankle945.04

Burn of unspecified degree of lower leg

945.11Erythema due to first degree burn of toe(s) (nail)

945.12

Erythema due to first degree burn of foot



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945.13

Erythema due to first degree burn of ankle945.14

Erythema due to first degree burn of lower leg

945.21

Blisters with epidermal loss due to burn (2nd degree) oftoe(s) (nail)

945.22Blisters with epidermal loss due to burn (2nd degree) of foot

945.23

Blisters with epidermal loss due to burn (2nd degree) of ankle

945.24Blisters with epidermal loss due to burn (2nd degree) of lowerleg

945.31

Full-thickness skin loss due to burn (3rd degree nos) of toe(s)

(nail)945.32

Full-thickness skin loss due to burn (3rd degree nos) of foot945.33

Full-thickness skin loss due to burn (3rd degree nos) of ankle945.34

Full-thickness skin loss due to burn (3rd degree nos) of lower

leg

Bursitis/Pre-Bursitic Lesions

727.3

Other bursitis disorders arising from pressure point

726.71Achilles bursitis



6

Capsulitis/MTPJ Pain

726.90

Enthesopathy of metatarsophalangeal joint

Cavus Foot Deformity

736.73

Cavus deformity of foot, acquired

754.71Cavus deformity of foot, congenital

Claudication, Intermittent

443.89

Peripheral vascular disease from spasmodic arterial narrowing

involving leg vessels

Clubfoot (Congenital Equinovarus)

754.50Congenital talipes varus

754.51Congenital talipes equinovarus

Contracted Toe

735.5

Claw toe (acquired)



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735.8

Other acquired deformities of toe

Contusion

924.20

Contusion of foot

924.21

Contusion of ankle

924.3

Contusion of toe

924.4

Contusion of multiple sites of lower limb

Cramp

729.82

Cramp of limb

Cyst

706.2

Sebaceous cyst

727.40Synovial cyst unspecified

727.42Ganglion cyst of tendon sheath

727.43

Ganglion cyst unspecified



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727.49

Other ganglion and cyst of synovium tendon and bursa

Dermatitis

691.8Atopic dermatitis and related conditions

692.4Contact dermatitis and other eczema due to other chemical

products (Acids, adhesive, alkalis, caustics, dichromate,

insecticide, nylon, plastic, rubber)

692.7

Contact dermatitis and other eczema due to solar radiation

692.84

Contact dermatitis due to animal (cat) (dog) dander

692.9Contact dermatitis and other eczema unspecified cause

454.1Stasis Dermatitis due to Varicose veins of lower extremities

with inflammation

Diabetes mellitus

250.00

Diabetes mellitus without complication type 2 or unspecifiedtype not stated as uncontrolled

250.60

With neurological manifestations/ peripheralneuropathy

250.70with peripheral circulatory disorders/ PVD



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250.80

with other specified manifestations (ulcer,amputations, etc.)

250.01Diabetes mellitus without complication type 1 not stated as

uncontrolled

250.61

With neurological manifestations/ peripheral

neuropathy

250.71with peripheral circulatory disorders/ PVD250.81


250.02Diabetes mellitus without complication type 2 or unspecified

type uncontrolled250.62

With neurological manifestations/ peripheralneuropathy

250.72

with peripheral circulatory disorders/ PVD250.82

with other specified manifestations (ulcer,

amputations, etc.)

250.03

Diabetes mellitus without complication type 1 uncontrolled

250.63With neurological manifestations/ peripheral

neuropathy250.73

with peripheral circulatory disorders/ PVD



10

250.83


Dislocation

838.00

Closed dislocation of foot unspecified part

838.01

Closed dislocation of tarsal (bone) joint unspecified

838.02

Closed dislocation of midtarsal (joint)

838.03

Closed dislocation of tarsometatarsal (joint)

838.04Closed dislocation of metatarsal (bone) joint unspecified

838.05Closed dislocation of metatarsophalangeal (joint)

838.06

Closed dislocation of interphalangeal (joint) foot

Edema

729.81

Swelling of limb



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Epiphysitis

732.5

Apophysitis/Juvenile osteochondrosis of foot

732.9Unspecified osteochondropathy

Equinovarus, Acquired

736.70Unspecified deformity of ankle and foot, acquired

736.71Acquired equinovarus deformity

736.72

Equinus deformity of foot acquired

Exostosis

726.91Exostosis of unspecified site

Fibromatosis

728.71Plantar fascial fibromatosis

A superficial fibromatosis arising from the soft tissue ofthe fascia. It is characterized by the presence of

spindle-shaped fibroblasts, and an infiltrative growth

pattern. It predominantly affects adult males



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Fissures of Skin

709.8

Other specified disorders of skin

709.9Unspecified disorder of skin and subcutaneous tissue

impairment of health or a condition of abnormal

functioning of the skin.

Any deviation from the normal structure or function ofthe skin or subcutaneous tissue that is manifested by a

characteristic set of symptoms and signs. (NCI) determination of diseases or disorders of the skin

based on symptoms, medical history, risk factors, andclinical tests.

A disorder involving lesions or eruptions of the skin,

usually without inflammation.

Any deviation from the normal structure or function of

the skin or subcutaneous tissue that is manifested by acharacteristic set of symptoms and signs.

Flatfoot (Pes Planus) Deformity

734

Acquired pes planus

754.61

Congenital pes planus



13

Foreign Body

729.6

Residual foreign body in soft tissue

917.6Superficial foreign body (splinter) of foot and toe(s) without

major open wound and without infection

917.7

Superficial foreign body (splinter) of foot and toe(s) without

major open wound and infected

Fractures, Ankle

824.0Fracture of medial malleolus closed

824.1Fracture of medial malleolus open

824.2

Fracture of lateral malleolus closed

824.3

Fracture of lateral malleolus open

824.4Bimalleolar fracture closed

824.5

Bimalleolar fracture open

824.6

Trimalleolar fracture closed



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824.7

Trimalleolar fracture open

Fractures, Foot

825.0

Closed Fracture of calcaneus

825.1Open Fracture of calcaneus

825.21Closed Fracture of astragalus825.22

Closed Fracture of navicular (scaphoid) bone of foot

825.23Closed Fracture of cuboid bone

825.24Closed Fracture of cuneiform bone

825.25Closed Fracture of metatarsal bone(s)

825.29

Other closed fracture of tarsal and metatarsal bones(accessory bone fractures)

825.31

Open Fracture of astragalus825.32

Open Fracture of navicular (scaphoid) bone

825.33Open Fracture of cuboid bone

825.34Open Fracture of cuneiform bone

825.35Open Fracture of metatarsal bone(s)



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Gait Abnormality

781.2

Abnormality of gait

Gangrene

785.4

Gangrene

Granuloma

686.1

Pyogenic granuloma of skin and subcutaneous tissue

A lobular hemangioma arising from the skin andattached subcutaneous tissues.

A capillary hemangioma characterized by the presence

of a lobular growth pattern.

709.4Foreign body granuloma of skin and subcutaneous tissue

Hallux Malleus

735.3Hallux malleus

Hallux Rigidus/Limitus

735.2Hallux rigidus



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Hallux Valgus

735.0

Hallux valgus

Hallux Varus

735.1

Hallux varus

Hammertoes

735.4

Hammertoe (acquired)

755.66Hammertoe (congenital)

Heel Spur Syndrome

726.73Calcaneal spur

Hematoma

See Contusion

Ingrown Toenail

703.0

Ingrowing toenail



17

Insect Bite

917.4

Insect bite nonvenomous of foot and toe(s) without infection

917.5Insect bite nonvenomous of foot and toe(s) infected

Keratosis (Callus/Corn)

701.1Acquired Keratoderma

Laceration

892.0

Open wound of foot except toe(s), without complication

892.1Open wound of foot except toe(s), complicated

892.2Open wound of foot except toe(s) alone with tendon

involvement

893.0Open wound of toe(s), without complication

893.1Open wound of toe(s), complicated

893.2

Open wound of toe(s) with tendon involvement



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Ligament Laxity

728.4

Laxity of ligament

Limb Length Discrepancy

736.81

Unequal leg length (acquired)

Lipoma

214.1

Lipoma of other skin and subcutaneous tissue

Lumbar Neuritis/Neuralgia

724.4Thoracic or lumbosacral neuritis or radiculitis unspecified

724.5

Backache unspecified

Metatarsalgia

See Capsulitis



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Muscle Spasm

728.85

Spasm of muscle

Muscle Weakness

728.87

Muscle weakness (generalized)

Neuroma

355.6

Lesion of plantar nerve

Onychomycosis

110.1Dermatophytosis of nail

Osteomyelitis

730.07Acute osteomyelitis involving ankle and foot

730.17

Chronic osteomyelitis involving ankle and foot



20

Pain in Limb

729.5

Pain in limb

Periostitis

730.37

Periostitis without osteomyelitis involving ankle and foot

Paronychia

681.11

Onychia and paronychia of toe

Peripheral Vascular Disease

443.9Peripheral vascular disease unspecified

condition in which there is a deviation from orinterruption of the normal structure or function of the

blood vessels outside the heart; diseases of theperipheral as opposed to the cardiac circulation.

Plantar fasciitis

729.4Plantar Fasciitis of the foot

Inflammation of fascia.

Inflammation process in fascia.



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Sinus Tarsi Syndrome

726.79

Enthesopathy of ankle and tarsus

Sprain/Strain of Ankle

845.00

Unspecified site of ankle sprain

845.01Deltoid ligament (medial) ankle sprain

845.02Calcaneofibular ligament (lateral) ankle sprain

845.03

Tibiofibular ligament (anterior) sprain distal

845.09

Other ankle sprain

Sprain/Strain of Foot

845.10

Unspecified site of foot sprain

845.11

Tarsometatarsal joint ligament sprain

845.12Metatarsophalangeal joint sprain

845.13



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Interphalangeal joint toe sprain

845.19

Other foot sprain

Tarsal Tunnel Syndrome

355.5Tarsal tunnel syndrome

Tendon Abscess/Bursa

727.89Other disorders of synovium tendon and bursa

Tenosynovitis/Tendonitis

726.71Achilles bursitis or tendinitis

727.06Tenosynovitis of foot and ankle

Ulcers

Coding of diabetic foot ulcers Underlying disease coded first, 250.xx

Ulcers may be on the basis of diabetic neuropathy(neuropathic), diabetic peripheral vascular disease

(microvascular ischemic), or both (neuroischemic)

ICD-9-CM directs to fourth digit of .8 (diabetes withother specified manifestation)



23

Fifth digit of ulcer code (707.1x) allows great specificity

for location of ulceration

707.10

Unspecified ulcer of lower limb

707.13Ulcer of ankle

707.14

Ulcer of heel and midfoot

707.15Ulcer of other part of foot

454.2Venous stasis ulcer and inflammation of lower extremities

Varicose Veins

454.1

Varicose veins of lower extremities with inflammation

454.8Varicose veins of lower extremities with other complications

454.9

Asymptomatic varicose veins

Venous Insufficiency

459.81Venous (peripheral) insufficiency unspecified



24

Verruca Plantaris

078.12

Plantar wart

216.7Benign neoplasm of skin of lower limb including hip

216.9Benign neoplasm of skin site unspecified

Abnormal growth of the cells that comprise the tissues

of the skin, without any evidence of malignancy.



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Sources

1. http://www.icd9coding.com

2. http://www.icd9data.com

http://www.icd9data.com/

http://www.icd9coding.com/

common podiatry diagnosis codes

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