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M76.61
ICD-10-CM
Right Achilles Tendinitis

Find information on Right Achilles Tendinitis diagnosis, including clinical documentation, medical coding (ICD-10 M76.611, SNOMED CT 76054001), and healthcare best practices. Learn about symptoms, treatment options, and proper coding procedures for accurate reimbursement. Explore resources for physicians, coders, and other healthcare professionals seeking guidance on Right Achilles Tendinopathy and related conditions.

Also known as

Right Achilles Tendonitis
Right Achilles Tendon Inflammation

Diagnosis Snapshot

Key Facts
  • Definition : Inflammation of the Achilles tendon, connecting calf muscle to heel.
  • Clinical Signs : Pain, stiffness, swelling, tenderness above the heel, difficulty walking.
  • Common Settings : Overuse in running, jumping sports, poor footwear, sudden increases in activity.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M76.61 Coding
M76.6

Achilles tendinitis

Inflammation of the Achilles tendon

M75-M79

Other soft tissue disorders

Includes other disorders of muscles, tendons, etc.

M00-M99

Diseases of the musculoskeletal

Covers various musculoskeletal system and connective tissue diseases.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the right Achilles tendon inflamed?

  • Yes

    Is there rupture of the tendon?

  • No

    Do not code as Achilles tendinitis. Review documentation for alternative diagnosis.

Code Comparison

Related Codes Comparison

When to use each related code

Description
Right Achilles tendon pain
Right Achilles tendinosis
Right Achilles paratenonitis

Documentation Best Practices

Documentation Checklist
  • Achilles pain location, onset, character
  • Palpation tenderness, thickening, crepitus
  • Limited ankle dorsiflexion ROM
  • Pain with resisted plantarflexion
  • Positive Thompson test findings documented

Coding and Audit Risks

Common Risks
  • Unspecified Laterality

    Coding Achilles tendinitis without specifying right or left can lead to claim denials and inaccurate data reporting. Use M76.811 for right.

  • Non-Traumatic Miscoding

    Miscoding a traumatic Achilles tendon rupture (S86.011) as tendinitis (M76.811) impacts severity and reimbursement. Proper documentation is key.

  • Missing Associated Conditions

    Failing to code associated conditions like insertional tendinitis or retrocalcaneal bursitis with Achilles tendinitis can affect quality metrics and payment.

Mitigation Tips

Best Practices
  • ICD-10 M76.61, precise laterality documentation for compliance.
  • Thorough HPI, including onset, activity level, pain details for CDI.
  • Palpation, ROM testing, Thompson test documented for accurate diagnosis coding.
  • R/O rupture, consider imaging if indicated. Document medical necessity.
  • Conservative treatment first: RICE, NSAIDs. Document rationale for chosen treatment.

Clinical Decision Support

Checklist
  • 1. Palpate Achilles tendon: tenderness/thickening?
  • 2. Pain with passive dorsiflexion?
  • 3. Pain with resisted plantarflexion?
  • 4. Rule out Achilles rupture/tear (Thompson test)

Reimbursement and Quality Metrics

Impact Summary
  • Right Achilles Tendinitis Reimbursement: ICD-10 M76.51, CPT 20550 (injection), 97140 (PT)
  • Coding Accuracy Impact: Precise laterality coding (right) crucial for accurate reimbursement.
  • Hospital Reporting Impact: M76.51 tracks overuse injuries, informing resource allocation.
  • Quality Metrics Impact: Functional outcome reporting (e.g., pain scales) influences quality scores.

Streamline Your Medical Coding

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

Quick Tips

Practical Coding Tips
  • ICD-10 M76.61 Right Achilles
  • Specificity: insertional vs noninsertional
  • Document activity causing pain
  • Laterality: crucial for Achilles codes
  • Confirm diagnosis via imaging

Documentation Templates

Patient presents with complaints consistent with right Achilles tendinitis.  Symptoms include posterior heel pain, Achilles tendon pain, and pain with ankle dorsiflexion.  Onset of symptoms occurred gradually over the past [duration] weeks months and is exacerbated by activities such as running, jumping, and prolonged standing.  The patient denies any specific trauma or injury to the area.  Physical examination reveals tenderness to palpation along the right Achilles tendon, thickening of the tendon, and crepitus with active and passive ankle range of motion.  Pain is localized to the right Achilles tendon region, without radiation.  No ecchymosis or edema is noted.  Thompson test is negative.  Diagnosis of right Achilles tendinitis is made based on patient history, physical exam findings, and clinical presentation.  Differential diagnoses considered include Achilles tendon rupture, retrocalcaneal bursitis, and plantar fasciitis.  Conservative treatment plan includes rest, ice, compression, elevation (RICE), nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, and activity modification.  Patient education provided regarding proper stretching and strengthening exercises for the Achilles tendon and calf muscles.  Referral to physical therapy is recommended for rehabilitation and functional restoration.  Follow-up appointment scheduled in [duration] weeks to assess response to treatment.  ICD-10 code M76.61, Right Achilles tendinitis.
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