ICD CODES

ICD Code M79.674

ICD code M79.674 is used to classify and identify medical conditions, specifically indicating pain in the right toe(s).

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What is ICD diagnosis code M79.674

ICD code M79.674 is used to specify a diagnosis of pain in the right toe(s). This code is part of the International Classification of Diseases, 10th Revision (ICD-10), which is used by healthcare providers to document and report conditions for billing and statistical purposes. The code M79.674 helps in accurately capturing the patient's condition related to pain localized in the right toe(s), facilitating appropriate treatment and reimbursement processes.

When to use ICD code M79.674

When considering the use of the ICD code for pain in the right toe(s), healthcare providers should evaluate the following diagnostic criteria and symptoms:

1. Localized Pain: The patient reports pain specifically in the right toe(s), without generalized foot pain or pain in other areas of the body.

2. Pain Characteristics: The pain may be described as sharp, dull, throbbing, or aching, and can vary in intensity from mild to severe.

3. Onset and Duration: The onset of pain can be sudden or gradual, and the duration may be acute (lasting less than 6 weeks) or chronic (persisting for more than 12 weeks).

4. Aggravating and Alleviating Factors: The pain may worsen with specific activities such as walking, standing, or wearing certain types of footwear, and may improve with rest, elevation, or application of ice or heat.

5. Associated Symptoms: There may be accompanying symptoms such as swelling, redness, warmth, or tenderness in the affected toe(s).

6. Medical History: Consideration of the patient's medical history, including any previous injuries, surgeries, or conditions affecting the right toe(s) or foot.

7. Physical Examination Findings: Objective findings from a physical examination, such as limited range of motion, deformities, or signs of infection or inflammation.

8. Exclusion of Other Conditions: Rule out other potential causes of toe pain, such as fractures, gout, arthritis, or neuropathy, through appropriate diagnostic tests or imaging if necessary.

By systematically evaluating these criteria, healthcare providers can accurately determine when to apply the specific ICD code for pain in the right toe(s).

Billable CPT codes for ICD code M79.674

For the ICD code M79.674, which pertains to pain in the right toe(s), the relevant CPT codes that may be applicable for treatment could include:

1. 20600 - Arthrocentesis, aspiration, and/or injection into a small joint or bursa (e.g., fingers, toes); without ultrasound guidance.

2. 20605 - Arthrocentesis, aspiration, and/or injection into an intermediate joint or bursa (e.g., temporomandibular, ankle, wrist, elbow); without ultrasound guidance.

3. 20606 - Arthrocentesis, aspiration, and/or injection into an intermediate joint or bursa (e.g., temporomandibular, ankle, wrist, elbow); with ultrasound guidance, with permanent recording and reporting.

4. 99201-99215 - Evaluation and Management (E/M) codes for office or other outpatient visits, depending on the complexity and time spent with the patient.

5. 97110 - Therapeutic exercises to develop strength and endurance, range of motion, and flexibility.

6. 97140 - Manual therapy techniques (e.g., mobilization/manipulation, manual lymphatic drainage, manual traction), one or more regions, each 15 minutes.

These CPT codes are examples of procedures and services that might be utilized in the management of pain in the right toe(s) as indicated by ICD code M79.674. The specific codes used would depend on the treatment plan and interventions chosen by the healthcare provider.

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