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
Achilles tendinitis
Inflammation of the Achilles tendon
Other soft tissue disorders
Includes other disorders of muscles, tendons, etc.
Diseases of the musculoskeletal
Covers various musculoskeletal system and connective tissue diseases.
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.
When to use each related code
Description |
---|
Right Achilles tendon pain |
Right Achilles tendinosis |
Right Achilles paratenonitis |
Coding Achilles tendinitis without specifying right or left can lead to claim denials and inaccurate data reporting. Use M76.811 for right.
Miscoding a traumatic Achilles tendon rupture (S86.011) as tendinitis (M76.811) impacts severity and reimbursement. Proper documentation is key.
Failing to code associated conditions like insertional tendinitis or retrocalcaneal bursitis with Achilles tendinitis can affect quality metrics and payment.
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.