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M76.70
ICD-10-CM
Peroneal Tendonitis

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

Peroneal Tendinitis
Peroneal Tendon Inflammation

Diagnosis Snapshot

Key Facts
  • Definition : Inflammation or tears of the peroneal tendons, which stabilize and move the outer ankle.
  • Clinical Signs : Ankle pain, swelling, tenderness behind the outer ankle bone, instability, clicking or popping sensation.
  • Common Settings : Overuse in sports, ankle sprains, foot and ankle instability, high arches.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M76.70 Coding
M76.1

Enthesopathies of lower leg

Includes peroneal tendonitis at the insertion.

M76.8

Other enthesopathies

May be used for peroneal tendonitis not at insertion.

M77.1

Other soft tissue disorders lower leg

A more general category for lower leg soft tissue issues.

Code-Specific Guidance

Decision Tree for

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?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Peroneal tendonitis: Outer ankle pain
Ankle sprain: Ligament tear
Cuboid syndrome: Midfoot pain

Documentation Best Practices

Documentation Checklist
  • Peroneal tendon pain location, laterality
  • Palpation tenderness over peroneal tendons
  • Pain with resisted eversion/dorsiflexion
  • Subluxation/instability assessment findings
  • Imaging results if obtained (e.g., MRI)

Coding and Audit Risks

Common Risks
  • Unspecified Laterality

    Coding peroneal tendonitis without specifying left, right, or bilateral can lead to claim denials and inaccurate reporting. Use ICD-10 laterality codes.

  • Acute vs. Chronic

    Incorrectly coding acute or chronic peroneal tendonitis impacts data analysis and reimbursement. CDI should clarify the chronicity for accurate coding.

  • Associated Conditions

    Missing documentation of associated conditions like tears or ankle instability can lead to undercoding and lost revenue. Thorough documentation is crucial.

Mitigation Tips

Best Practices
  • RICE therapy: Rest, ice, compression, elevation. Code: M76.89
  • Supportive footwear, orthotics for proper foot mechanics. ICD-10: M76.89
  • Stretching, strengthening exercises: Improve flexibility, stability. M76.89
  • NSAIDS, physical therapy for pain management, healing. CDI: M76.89
  • Immobilization: Use brace or boot to restrict movement. M76.89

Clinical Decision Support

Checklist
  • Lateral ankle pain: Documented?
  • Palpation tenderness over peroneal tendons?
  • Pain with resisted eversion/dorsiflexion?
  • Subluxation/dislocation ruled out: Imaging/exam?
  • ICD-10 M76.9, M77.1 considered?

Reimbursement and Quality Metrics

Impact Summary
  • Peroneal Tendonitis Reimbursement: CPT 27650, 76942 (Ultrasound guidance), ICD-10 M76.1
  • Coding Accuracy Impact: Precise documentation of laterality (right, left, bilateral) crucial for proper coding.
  • Hospital Reporting Impact: Track tendonitis cases for quality metrics related to patient outcomes and resource utilization.
  • Reimbursement Impact: Accurate coding maximizes payment and reduces claim denials. Modifier 59 for distinct procedural services may apply.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Code M76.87 for peroneal tendonitis
  • Document pain location and laterality
  • Specify acute or chronic condition
  • Confirm diagnosis with imaging studies
  • Consider associated conditions like ankle instability

Documentation Templates

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.
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