Find information on peroneal tendonitis diagnosis, including clinical documentation, ICD-10 codes (M76.871, M76.872), CPT codes for related procedures, and healthcare resources. Learn about peroneal tendon subluxation, tenosynovitis, tears, pain management, and treatment options. This resource provides relevant medical coding information for accurate documentation and billing related to peroneal tendon injuries and conditions.
Also known as
Enthesopathies of lower leg
Includes peroneal tendonitis at the insertion.
Other enthesopathies
May be used for peroneal tendonitis not at insertion.
Other soft tissue disorders lower leg
A more general category for lower leg soft tissue issues.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the peroneal tendonitis specified as acute?
Yes
Is there a tear?
No
Is the peroneal tendonitis chronic?
When to use each related code
Description |
---|
Peroneal tendonitis: Outer ankle pain |
Ankle sprain: Ligament tear |
Cuboid syndrome: Midfoot pain |
Coding peroneal tendonitis without specifying left, right, or bilateral can lead to claim denials and inaccurate reporting. Use ICD-10 laterality codes.
Incorrectly coding acute or chronic peroneal tendonitis impacts data analysis and reimbursement. CDI should clarify the chronicity for accurate coding.
Missing documentation of associated conditions like tears or ankle instability can lead to undercoding and lost revenue. Thorough documentation is crucial.
Patient presents with complaints of lateral ankle pain, consistent with peroneal tendonitis. Onset of pain was gradual, reported as [duration of symptoms], and is exacerbated by activities such as running, jumping, and walking on uneven surfaces. Patient denies any specific trauma or injury to the ankle. Pain is localized along the posterior aspect of the lateral malleolus, radiating distally towards the fifth metatarsal base. Palpation elicits tenderness over the peroneal tendons. Pain is aggravated with resisted eversion and dorsiflexion of the foot. Assessment suggests peroneal tendonitis, possibly involving peroneal tendon subluxation or peroneal tendon tear, though less likely. Differential diagnosis includes lateral ankle sprain, cuboid syndrome, and calcaneofibular ligament injury. Ankle range of motion is slightly limited due to pain. No obvious edema or ecchymosis noted. Neurovascular examination is intact. Treatment plan includes rest, ice, compression, elevation (RICE), nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen for pain management, and physical therapy focusing on ankle strengthening and flexibility exercises. A referral to a podiatrist or orthopedist may be warranted if symptoms persist or worsen. Patient education provided regarding activity modification and proper footwear. Follow-up scheduled in [duration] to assess response to treatment. ICD-10 code M77.11 (Peroneal tendinitis) is considered.