Right sinus tarsi syndrome Sinus tarsi syndrome of right ankle ICD-10-CM M25.571 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 555 Signs and symptoms of musculoskeletal system and connective tissue with mcc
2018/2019 ICD-10-CM Diagnosis Code G57.51. Tarsal tunnel syndrome, right lower limb. 2016 2017 2018 2019 Billable/Specific Code. G57.51 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
You may consider this a joint, as the sinus tarsi traverses the sub-talar joint, so you should report 20605 (Arthrocentesis, aspiration and/or injection; intermediate joint or bursa [e.g., temporomandibular, acromioclavicular, wrist, elbow, or ankle, olecranon bursa]). Your diagnosis will also need to support the appropriate injection code.
Answer: The correct code for this procedure is hard to pin down because the sinus tarsi is neither a joint nor a ligament but a space.
In the Index for ICD-10 sinus tarsi syndrome gets referred to “Tarsal Tunnel Syndrome” (G57. 50), a neurological disorder.
Sinus tarsi syndrome is a condition of the ankle and foot that results from instability of the subtalar joint. Athletes with this condition typically have complaints of instability with functional activities and persistent anterolateral ankle discomfort.
The sinus tarsi is a tunnel between the talus and the calcaneus that contains structures that contribute to the stability of the ankle and to its proprioception but can get damaged in the sinus tarsi. The joint between the talus and calcaneus is also known as the subtalar joint.
M25. 571 Pain in right ankle and joints of right foot - ICD-10-CM Diagnosis Codes.
The trick for coding the procedure is to be accurate with the site of injection. If your physician administers the injection into the surrounding soft tissue you need to use 20550 (Injection[s]; single tendon sheath, or ligament, aponeurosis [e.g., plantar “fascia”])...
Contents of the sinus tarsi include ligaments, adipose connective tissue, branches of the peroneal and posterior tibial arteries which anastomose in the sinus, the cutaneous dorsolateral nerve (a branch of the superficial peroneal nerve), and proprioceptive nerve endings.
The sinus tarsi artery was formed in all cases from anastomoses between various arteries of the lateral region of the foot.
medial talocalcaneal interosseous ligament (ligament of the sinus tarsi)
Starting from the anterior surface of the lateral malleolus and moving anteriorly and medially, the finger falls into a depression – the sinus tarsi. If the finger is left in place and the foot is inverted, the depression excavates and its borders can be better ascertained.
ICD-10 code M79. 671 for Pain in right foot is a medical classification as listed by WHO under the range - Soft tissue disorders .
R26. 2, Difficulty in walking, not elsewhere classified, or R26. 89, Other abnormalities of gait and mobility.
M79. 671 is the code for bilateral foot or heel pain, or pain in the right foot. M79. 672 is the code for pain in the left foot or heel.