Notification



Notification Issue Date:



Policy Attachment



Attachment to Policy # 07.07.01o


Attachment:D

Policy #:07.07.01o

Description:ICD-10 CM Codes Eligible to be Reported for Routine Foot Care for Certain Medical Conditions (I87.099 - S86.891S), Continued

Title:Routine Foot Care for Certain Medical Conditions


Inclusion of a code in this table does not imply reimbursement. Eligibility, benefits, limitations, exclusions, precertification/referral requirements, provider contracts, and Company policies apply.

The codes listed below are updated on a regular basis, in accordance with nationally accepted coding guidelines. Therefore, this policy applies to any and all future applicable coding changes, revisions, or updates.

In order to ensure optimal reimbursement, all health care services, devices, and pharmaceuticals should be reported using the billing codes and modifiers that most accurately represent the services rendered, unless otherwise directed by the Company.


INTERNATIONAL CLASSIFICATION OF DISEASES (ICD-10) DIAGNOSIS CODES ASSOCIATED WITH ROUTINE FOOT CARE (continued)

I87.099Postthrombotic syndrome with other complications of unspecified lower extremity
I87.1Compression of vein
I87.2Venous insufficiency (chronic) (peripheral)
I87.301Chronic venous hypertension (idiopathic) without complications of right lower extremity
I87.302Chronic venous hypertension (idiopathic) without complications of left lower extremity
I87.303Chronic venous hypertension (idiopathic) without complications of bilateral lower extremity
I87.309Chronic venous hypertension (idiopathic) without complications of unspecified lower extremity
I87.311Chronic venous hypertension (idiopathic) with ulcer of right lower extremity
I87.312Chronic venous hypertension (idiopathic) with ulcer of left lower extremity
I87.313Chronic venous hypertension (idiopathic) with ulcer of bilateral lower extremity
I87.319Chronic venous hypertension (idiopathic) with ulcer of unspecified lower extremity
I87.321Chronic venous hypertension (idiopathic) with inflammation of right lower extremity
I87.322Chronic venous hypertension (idiopathic) with inflammation of left lower extremity
I87.323Chronic venous hypertension (idiopathic) with inflammation of bilateral lower extremity
I87.329Chronic venous hypertension (idiopathic) with inflammation of unspecified lower extremity
I87.331Chronic venous hypertension (idiopathic) with ulcer and inflammation of right lower extremity
I87.332Chronic venous hypertension (idiopathic) with ulcer and inflammation of left lower extremity
I87.333Chronic venous hypertension (idiopathic) with ulcer and inflammation of bilateral lower extremity
I87.339Chronic venous hypertension (idiopathic) with ulcer and inflammation of unspecified lower extremity
I87.391Chronic venous hypertension (idiopathic) with other complications of right lower extremity
I87.392Chronic venous hypertension (idiopathic) with other complications of left lower extremity
I87.393Chronic venous hypertension (idiopathic) with other complications of bilateral lower extremity
I87.399Chronic venous hypertension (idiopathic) with other complications of unspecified lower extremity
I87.9Disorder of vein, unspecified
I89.0Lymphedema, not elsewhere classified
I99.9Unspecified disorder of circulatory system
K90.0Celiac disease
K90.1Tropical sprue
K90.9Intestinal malabsorption, unspecified
L02.415Cutaneous abscess of right lower limb
L02.416Cutaneous abscess of left lower limb
L02.419Cutaneous abscess of limb, unspecified
L02.611Cutaneous abscess of right foot
L02.612Cutaneous abscess of left foot
L02.619Cutaneous abscess of unspecified foot
L02.91Cutaneous abscess, unspecified
L03.031Cellulitis of right toe
L03.032Cellulitis of left toe
L03.039Cellulitis of unspecified toe
L03.041Acute lymphangitis of right toe
L03.042Acute lymphangitis of left toe
L03.049Acute lymphangitis of unspecified toe
L03.115Cellulitis of right lower limb
L03.116Cellulitis of left lower limb
L03.119Cellulitis of unspecified part of limb
L03.125Acute lymphangitis of right lower limb
L03.126Acute lymphangitis of left lower limb
L03.129Acute lymphangitis of unspecified part of limb
L03.90Cellulitis, unspecified
L03.91Acute lymphangitis, unspecified
L98.3Eosinophilic cellulitis [Wells]
M05.50Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified site
M05.511Rheumatoid polyneuropathy with rheumatoid arthritis of right shoulder
M05.512Rheumatoid polyneuropathy with rheumatoid arthritis of left shoulder
M05.519Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified shoulder
M05.521Rheumatoid polyneuropathy with rheumatoid arthritis of right elbow
M05.522Rheumatoid polyneuropathy with rheumatoid arthritis of left elbow
M05.529Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified elbow
M05.531Rheumatoid polyneuropathy with rheumatoid arthritis of right wrist
M05.532Rheumatoid polyneuropathy with rheumatoid arthritis of left wrist
M05.539Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified wrist
M05.541Rheumatoid polyneuropathy with rheumatoid arthritis of right hand
M05.542Rheumatoid polyneuropathy with rheumatoid arthritis of left hand
M05.549Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified hand
M05.551Rheumatoid polyneuropathy with rheumatoid arthritis of right hip
M05.552Rheumatoid polyneuropathy with rheumatoid arthritis of left hip
M05.559Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified hip
M05.561Rheumatoid polyneuropathy with rheumatoid arthritis of right knee
M05.562Rheumatoid polyneuropathy with rheumatoid arthritis of left knee
M05.569Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified knee
M05.571Rheumatoid polyneuropathy with rheumatoid arthritis of right ankle and foot
M05.572Rheumatoid polyneuropathy with rheumatoid arthritis of left ankle and foot
M05.579Rheumatoid polyneuropathy with rheumatoid arthritis of unspecified ankle and foot
M05.59Rheumatoid polyneuropathy with rheumatoid arthritis of multiple sites
M34.83Systemic sclerosis with polyneuropathy
N18.1Chronic kidney disease, stage 1
N18.2Chronic kidney disease, stage 2 (mild)
N18.3Chronic kidney disease, stage 3 (moderate)
N18.4Chronic kidney disease, stage 4 (severe)
N18.5Chronic kidney disease, stage 5
N18.6End stage renal disease
N18.9Chronic kidney disease, unspecified
O24.011Pre-existing type 1 diabetes mellitus, in pregnancy, first trimester
O24.012Pre-existing type 1 diabetes mellitus, in pregnancy, second trimester
O24.013Pre-existing type 1 diabetes mellitus, in pregnancy, third trimester
O24.019Pre-existing type 1 diabetes mellitus, in pregnancy, unspecified trimester
O24.02Pre-existing type 1 diabetes mellitus, in childbirth
O24.03Pre-existing type 1 diabetes mellitus, in the puerperium
O24.111Pre-existing type 2 diabetes mellitus, in pregnancy, first trimester
O24.112Pre-existing type 2 diabetes mellitus, in pregnancy, second trimester
O24.113Pre-existing type 2 diabetes mellitus, in pregnancy, third trimester
O24.119Pre-existing type 2 diabetes mellitus, in pregnancy, unspecified trimester
O24.12Pre-existing type 2 diabetes mellitus, in childbirth
O24.13Pre-existing type 2 diabetes mellitus, in the puerperium
O24.311Unspecified pre-existing diabetes mellitus in pregnancy, first trimester
O24.312Unspecified pre-existing diabetes mellitus in pregnancy, second trimester
O24.313Unspecified pre-existing diabetes mellitus in pregnancy, third trimester
O24.319Unspecified pre-existing diabetes mellitus in pregnancy, unspecified trimester
O24.32Unspecified pre-existing diabetes mellitus in childbirth
O24.33Unspecified pre-existing diabetes mellitus in the puerperium
O24.811Other pre-existing diabetes mellitus in pregnancy, first trimester
O24.812Other pre-existing diabetes mellitus in pregnancy, second trimester
O24.813Other pre-existing diabetes mellitus in pregnancy, third trimester
O24.819Other pre-existing diabetes mellitus in pregnancy, unspecified trimester
O24.82Other pre-existing diabetes mellitus in childbirth
O24.83Other pre-existing diabetes mellitus in the puerperium
O24.911Unspecified diabetes mellitus in pregnancy, first trimester
O24.912Unspecified diabetes mellitus in pregnancy, second trimester
O24.913Unspecified diabetes mellitus in pregnancy, third trimester
O24.919Unspecified diabetes mellitus in pregnancy, unspecified trimester
O24.92Unspecified diabetes mellitus in childbirth
O24.93Unspecified diabetes mellitus in the puerperium
Q82.0Hereditary lymphedema
R60.0Localized edema
R60.1Generalized edema
R60.9Edema, unspecified
S86.001AUnspecified injury of right Achilles tendon, initial encounter
S86.001DUnspecified injury of right Achilles tendon, subsequent encounter
S86.001SUnspecified injury of right Achilles tendon, sequela
S86.002AUnspecified injury of left Achilles tendon, initial encounter
S86.002DUnspecified injury of left Achilles tendon, subsequent encounter
S86.002SUnspecified injury of left Achilles tendon, sequela
S86.009AUnspecified injury of unspecified Achilles tendon, initial encounter
S86.009DUnspecified injury of unspecified Achilles tendon, subsequent encounter
S86.009SUnspecified injury of unspecified Achilles tendon, sequela
S86.091AOther specified injury of right Achilles tendon, initial encounter
S86.091DOther specified injury of right Achilles tendon, subsequent encounter
S86.091SOther specified injury of right Achilles tendon, sequela
S86.092AOther specified injury of left Achilles tendon, initial encounter
S86.092DOther specified injury of left Achilles tendon, subsequent encounter
S86.092SOther specified injury of left Achilles tendon, sequela
S86.099AOther specified injury of unspecified Achilles tendon, initial encounter
S86.099DOther specified injury of unspecified Achilles tendon, subsequent encounter
S86.099SOther specified injury of unspecified Achilles tendon, sequela
S86.101AUnspecified injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg, initial encounter
S86.101DUnspecified injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg, subsequent encounter
S86.101SUnspecified injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg, sequela
S86.102AUnspecified injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg, initial encounter
S86.102DUnspecified injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg, subsequent encounter
S86.102SUnspecified injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg, sequela
S86.109AUnspecified injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, unspecified leg, initial encounter
S86.109DUnspecified injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, unspecified leg, subsequent encounter
S86.109SUnspecified injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, unspecified leg, sequela
S86.191AOther injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg, initial encounter
S86.191DOther injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg, subsequent encounter
S86.191SOther injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, right leg, sequela
S86.192AOther injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg, initial encounter
S86.192DOther injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg, subsequent encounter
S86.192SOther injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, left leg, sequela
S86.199AOther injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, unspecified leg, initial encounter
S86.199DOther injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, unspecified leg, subsequent encounter
S86.199SOther injury of other muscle(s) and tendon(s) of posterior muscle group at lower leg level, unspecified leg, sequela
S86.201AUnspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, initial encounter
S86.201DUnspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, subsequent encounter
S86.201SUnspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, sequela
S86.202AUnspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, initial encounter
S86.202DUnspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, subsequent encounter
S86.202SUnspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, sequela
S86.209AUnspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, unspecified leg, initial encounter
S86.209DUnspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, unspecified leg, subsequent encounter
S86.209SUnspecified injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, unspecified leg, sequela
S86.291AOther injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, initial encounter
S86.291DOther injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, subsequent encounter
S86.291SOther injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, right leg, sequela
S86.292AOther injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, initial encounter
S86.292DOther injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, subsequent encounter
S86.292SOther injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, left leg, sequela
S86.299AOther injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, unspecified leg, initial encounter
S86.299DOther injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, unspecified leg, subsequent encounter
S86.299SOther injury of muscle(s) and tendon(s) of anterior muscle group at lower leg level, unspecified leg, sequela
S86.301AUnspecified injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, initial encounter
S86.301DUnspecified injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, subsequent encounter
S86.301SUnspecified injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, sequela
S86.302AUnspecified injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg, initial encounter
S86.302DUnspecified injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg, subsequent encounter
S86.302SUnspecified injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg, sequela
S86.309AUnspecified injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, unspecified leg, initial encounter
S86.309DUnspecified injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, unspecified leg, subsequent encounter
S86.309SUnspecified injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, unspecified leg, sequela
S86.391AOther injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, initial encounter
S86.391DOther injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, subsequent encounter
S86.391SOther injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, right leg, sequela
S86.392AOther injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg, initial encounter
S86.392DOther injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg, subsequent encounter
S86.392SOther injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, left leg, sequela
S86.399AOther injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, unspecified leg, initial encounter
S86.399DOther injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, unspecified leg, subsequent encounter
S86.399SOther injury of muscle(s) and tendon(s) of peroneal muscle group at lower leg level, unspecified leg, sequela
S86.801AUnspecified injury of other muscle(s) and tendon(s) at lower leg level, right leg, initial encounter
S86.801DUnspecified injury of other muscle(s) and tendon(s) at lower leg level, right leg, subsequent encounter
S86.801SUnspecified injury of other muscle(s) and tendon(s) at lower leg level, right leg, sequela
S86.802AUnspecified injury of other muscle(s) and tendon(s) at lower leg level, left leg, initial encounter
S86.802DUnspecified injury of other muscle(s) and tendon(s) at lower leg level, left leg, subsequent encounter
S86.802SUnspecified injury of other muscle(s) and tendon(s) at lower leg level, left leg, sequela
S86.809AUnspecified injury of other muscle(s) and tendon(s) at lower leg level, unspecified leg, initial encounter
S86.809DUnspecified injury of other muscle(s) and tendon(s) at lower leg level, unspecified leg, subsequent encounter
S86.809SUnspecified injury of other muscle(s) and tendon(s) at lower leg level, unspecified leg, sequela
S86.891AOther injury of other muscle(s) and tendon(s) at lower leg level, right leg, initial encounter
S86.891DOther injury of other muscle(s) and tendon(s) at lower leg level, right leg, subsequent encounter
S86.891SOther injury of other muscle(s) and tendon(s) at lower leg level, right leg, sequela

Version Effective Date: 10/01/2019
Version Issued Date: 10/02/2019
Version Reissued Date: N/A



2017 AmeriHealth.