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Basics of Plantar fasciitis ICD-10 CM coding

Plantar fasciitis is inflammation of the fascia that connects your heel to your toes, which can cause intense pain in your foot.

M72.2, plantar fascial fibromatosis

M72.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

Plantar Fasciitis and ICD-10

The good news is there’s just one code for plantar fasciitis itself, regardless of whether it affects your left foot, right foot, or both. The code you’re looking for is:

M72.2: Plantar fascial fibromatosis

No Differentiation for Laterality: Plantar Fasciitis ICD-10

ICD-10 coding for plantar fasciitis doesn’t differentiate between left foot, right foot, or both feet impacted. So, whether you have it in one foot or both, the code remains M72.2.

Plantar Fascia Tear and ICD-10

While plantar fasciitis involves inflammation of the plantar fascia tissue, a tear is a more severe injury. Unfortunately, ICD-10 coding doesn’t have a specific code for a plantar fascia tear. In such cases, doctors might use a more general code like:

S83.0: Injury to fascia and aponeurosis of foot

Related Synonyms for Plantar fasciitis ICD-10 CM

Bilateral plantar fasciitis
Fibromatosis of bilateral plantar fascia
Fibromatosis of left plantar fascia
Fibromatosis of plantar fascia
Fibromatosis of plantar fascia of bilateral feet
Fibromatosis of plantar fascia of left foot
Fibromatosis of plantar fascia of right foot
Fibromatosis of right plantar fascia
Left plantar fasciitis
Plantar fasciitis
Plantar fasciitis of left foot
Plantar fasciitis of right foot
Right plantar fasciitis

Treatment for Plantar fasciitis ICD-10 CM

Patients usually experience relief in a few months, but it also can take up to two years. Common treatments include:

Anti-inflammatory medications
Heel-stretching exercises
Night splints
Shoe inserts

Physicians may treat patients for whom conservative methods don’t work with one of the following interventions:

Steroid injections (though these can be painful)
Surgery

Documentation and coding for Plantar fasciitis ICD-10 CM

For CPT codes, use the following:

28890, extracorporeal shock wave, high energy, performed by a physician, requiring anesthesia other than local, including ultrasound guidance, involving the plantar fascia
20552, injection[s]; single or multiple trigger point[s], 1 or 2 muscle[s]
28008, fasciotomy, foot and/or toe

For HCPCS Level II coding, use the following:

L4396, static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, includes fitting and adjustment

Frequently Asked Questions: Plantar Fasciitis ICD-10 Coding

Q: What is the ICD-10 code for plantar fasciitis?

A: The ICD-10 code for plantar fasciitis, regardless of which foot (or both) is affected, is M72.2: Plantar fascial fibromatosis.

Q: Is there a different ICD-10 code for left vs. right foot plantar fasciitis?

A: No. ICD-10 coding for plantar fasciitis doesn’t differentiate between left foot, right foot, or both. M72.2 covers all cases.

Q: What about a plantar fascia tear? Does it have a specific ICD-10 code?

A: Unfortunately, there’s no specific code for a plantar fascia tear. In such cases, doctors might use a more general code like S83.0: Injury to fascia and aponeurosis of foot.

Q: Why doesn’t ICD-10 differentiate between plantar fasciitis and a tear?

A: ICD-10 coding focuses on diagnosing conditions, not necessarily the severity. While both plantar fasciitis and a tear involve the plantar fascia, they’re considered distinct on a clinical level. Your doctor will diagnose the specific issue during your visit.