Plantar Fasciitis

What ICD-10 Codes are Used for Plantar Fasciitis?

Plantar fasciitis is a prevalent foot condition that manifests as persistent heel pain. Identifying the appropriate ICD-10 codes is crucial for accurate diagnosis, treatment, and medical billing. Here's an in-depth look at the most frequently used codes for plantar fasciitis:

1. M72.2: This code corresponds to Plantar fascial fibromatosis, a disorder characterized by the thickening of the sole's connective tissue (plantar fascia). It typically presents with firm nodules in the arch of the foot.

2. M77.30: This code is utilized for Calcaneal spur, a bony outgrowth on the heel bone often associated with plantar fasciitis. Patients may experience sharp, localized pain beneath the heel, especially when standing or walking.

3. M21.6X9: This code represents Other acquired deformities of the foot. It covers many conditions, including flat feet, high arch, and claw toe, which can predispose individuals to plantar fasciitis.

4. M72.0: This code refers to Palmar fascial fibromatosis [Dupuytren], a hand condition that can resemble plantar fasciitis in the foot. It involves contracture of the palmar fascia, causing bent fingers.

5. M72.1: Knuckle pads, another related condition, are depicted by this code. These are thickened skin areas over the joints of the fingers, often linked with repetitive trauma or pressure.

6. M76.8: This code is assigned for Other enthesopathies of the lower limb, excluding the foot. Enthesopathy refers to a disorder involving the attachment of a tendon or ligament to the bone, which can impact the foot's biomechanics, leading to conditions like plantar fasciitis.

We recommend watching our explainer video for a comprehensive understanding of these codes.

Which Plantar Fasciitis ICD codes are Billable?

The following ICD-10 codes for plantar fasciitis are typically billable:

• M72.2: Yes
• M77.30: Yes
• M21.6X9: Yes
• M72.0: Yes
• M72.1: Yes
• M76.8: Yes

Clinical Information

Plantar fasciitis is a distressing condition triggered by inflammation or small tears in the plantar fascia, the robust band of tissue connecting the heel to the front of the foot. This condition is often associated with long periods of weight-bearing activities and improper footwear. Key clinical characteristics and symptoms of plantar fasciitis include:

• Heel Pain: The most distinguishing symptom is a sharp, stabbing pain near the heel. This pain is typically concentrated on the underside of the heel and can sometimes extend into the foot's arch.

• Morning Discomfort: Patients frequently report that the pain worsens in the morning upon waking up. The first few steps after getting out of bed can be particularly painful.

• Pain after Prolonged Periods of Rest: Just as the pain is more severe in the morning, it also tends to increase after long periods of sitting or standing. This is because resting allows the plantar fascia to contract and inflammation to build up, which can cause pain upon subsequent weight-bearing.

• Post-Activity Pain: While some patients may not experience much pain during activity, it often flares up immediately after. This post-exercise pain can be sudden and intense.

• Swelling or Redness: In some cases, plantar fasciitis may cause visible swelling or redness in the heel area. However, these symptoms are less common.

Understanding these clinical signs and symptoms can aid in the early detection and treatment of plantar fasciitis, helping to prevent long-term complications and improve patient outcomes.

Synonyms Include:

• Heel Spur Syndrome
• Jogger's Heel
• Plantar Fascial Fibromatosis
• Plantar Fasciopathy
• Policeman's Heel