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 currently employed with Find-A-Code. Bringing over 30 years of insight, business knowledge, and innovation to the healthcare industry. Establishing a successful Medical Billing Company from 1994 to 2015, during this time, Christine has had the opportunity to learn all aspects of revenue cycle management while working with independent practitioners and in clinic settings. Christine was a VAR for AltaPoint EHR software sales, along with management positions and medical practice consulting. Understanding the complete patient engagement cycle and developing efficient processes to coordinate teams ensuring best practice standards in healthcare. Working with payers on coding and interpreting ACA policies according to state benchmarks and insurance filings and implementing company procedures and policies to coordinate teams and payer benefits.
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