by Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
Mar 16th, 2015 - Reviewed/Updated Aug 9th
Prior to treatment, you must determine Medical Necessity.
Be sure conservative therapy/treatment was previously done and documented for at least 6 months and proven to be unsuccessful.
- NSAIDS - at least 4 weeks ineffective or contraindicated
- Physical Therapy such as taping and stretching
- Activity modification
- Splints used at night for more than 4 weeks
- Corticosteroid injection
- Arch Supports, orthotics, insert and heel lift - Using codes
L3000 - L3031 Custom Foot insert - Removable
Does the pain interfere with daily activity?
It is intractable plantar fasciitis?
Imaging excluded other pathological etiologies of heel pain such as arthritis, stress fracture.
Covered CPT codes
X-Rays
- 73650 - Radiologic examination; calcaneus, minimum of 2 views
- 73620 - Radiologic examination, foot; 2 views
- 73630 - Radiologic examination, foot; complete, minimum of 3 view
UltraSound
- 76881 - Ultrasound, extremity, nonvascular, real-time with image documentation; complete
- 76882 - Ultrasound, extremity, nonvascular, real-time with image documentation; limited, anatomic specific
ICD-10 CM
- M72.2 Plantar fascial fibromatosis
- M77.30 Calcaneal spur, unspecified foot
- M21.6X9 Other acquired deformities of unspecified foot
- G57.90 Unspecified mononeuropathy of unspecified lower limb
References/Resources
About Christine Woolstenhulme, QMC QCC CMCS CPC CMRS
Christine Woolstenhulme, CPC, QCC, CMCS, CMRS, is a Certified coder and Medical Biller with 30 years of experience in the healthcare industry.
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