Wiki Plantar fasciitis

[ivorytofu@hotmail.com]

Hello,

Hoping someone can help me with this. We have a chart that the provider did a plantar fascia injection on. In the chart it states foot pain, and worse when walking, then in the progress notes it states "still has mix cramps L foot --ttp over her L facia anterior" can I code plantar fasciitis 728.71 from this this statment?

Thanks in advance

 

[mitchellde]

no you cannot. you will need to code for the pain in this case if he states acute or chronic you can use a 338.xx code also otherwise look up foot pain.

 

[ivorytofu@hotmail.com]

Debra,

Thank you for your response. Can you give me some idea of what the Provider would need to document? Do they actually have to specify plantar faciitis in the progress notes or treatment plan? I am not used to dealing with this type of documentation from a provider.

Thanks

 

[mitchellde]

Yes they must document plantar fascitis in the note and as a reason for the treatment. This is a diagnosis not a symptom and the coder is not allowed to make the determination of the diagnosis given the symptoms or treatment rendered.