what is the icd 10 code for plantar plate tear

Plantar fascial fibromatosis. M72.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

Full Answer

How do you repair a plantar plate?

• Biomechanical abnormalities include a short or elevated 1st metatarsal or a long second metatarsal. ...
• Bunions (hallux valgus) can also put increased pressure on the plantar plate. ...
• Cortisone injections can occasionally cause weakening and thinning of the plantar plate ligament. ...

What causes a plantar plate tear?

Table 1: Grading System based on Nery et al (2015) (12)

• Joint pain in MTP
• Thickening and swelling MTP
• Weak plantar grip
• Negative drawer test
• Attenuation and/or discoloration of the plantar plate

What is a ruptured plantar plate?

The plantar plate normally provides protection for the bones of your foot while you walk, run, jump and bend. A plantar plate injury occurs when there is a plantar plate tear, or a plantar plate rupture. This is sometimes called a plantar plate sprain, however this is not exactly the correct term.

How to assess plantar plate anatomy and Tears on MRI?

• discontinuity
• proximal retraction
• persistent hyper-extension of the proximal phalanx 1 , or valgus/varus deviation of the toe

What is a plantar plate tear?

What Are Plantar Plate Tears? Through chronic microtrauma, sports injury or dynamic imbalance, the connective tissue running through the sole of the foot can become inflamed, stretched or torn. These plate tears can result in pain in the ball of the foot, joint instability, crossover toes, or dislocations.

Is the plantar plate a tendon?

The plantar plate is a ligament in the ball of your foot that supports the metatarsophalangeal (MTP) joints under the toes.

How do you code a plantar plate repair?

There is no plantar plate repair CPT code, so it is incumbent upon you to decide what best represents your procedure and if none of the options are pertinent, then you must use CPT 28899. The coding of a plantar plate repair is based on what was actually repaired and documented.

What is plantar plate dysfunction?

Plantar plate dysfunction is a common problem associated with the dysfunction (stretch or tear) of a ligament within the forefoot called the Plantar Plate. The Plantar Plate is a ligament that is present in the lesser toes and attaches the base of the toe to the metatarsal on the plantar surface.

Is the plantar plate part of the plantar fascia?

At its proximal aspect, the plantar plate is attached to the deep slips of the plantar fascia (i.e. central component of the plantar aponeurosis) and functionally, we may consider it to act as a distal extension of the plantar fascia.

Is the plantar plate soft tissue?

The plantar plate is attached to the proximal phalanx, to the major longitudinal bands of the plantar fascia, and to the collateral ligaments. Together with the collateral ligaments, it forms a soft tissue box which is connected to the sides of the metatarsal head.

What is included in CPT code 28285?

CPT® Code 28285 in section: Repair, Revision, and/or Reconstruction Procedures on the Foot and Toes.

What is the CPT code for plantar tenotomy?

The company rep states that the ultrasonic-guided debridement instrument removes only ''diseased'' tissue and said you would bill either CPT 28008 (fasciotomy, foot and/or toe) or CPT 27605 (tenotomy, percutaneous, Achilles tendon [separate procedure]; local anesthesia), whichever is appropriate.

What is procedure code 28308?

The CPT code to bill for an osteotomy with a bunionette is 28308 (Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each). This procedure includes both an osteotomy procedure and the removal of the bunionette.

What causes plantar plate injury?

Plantar plate injuries are actually more common at the 2nd MTP joint, which has the longest metatarsal, unopposed lumbricals, and no plantar interosseous insertions. These tears arise from the base of the proximal phalanx, and are caused by repetitive overload from abnormal forefoot loading.

How do you check for plantar plate tear?

Aside from pain of palpation of the joint, perform a Lachman test to assess for a plantar plate tear. With this test, pull the proximal phalanx dorsally with a stabilized metatarsal. More than 2 mm of displacement of the phalanx indicates a plantar plate rupture or insufficiency.

How common are plantar plate tears?

As primary plantar plate tears are not common and are usually due to associated deformity and biomechanical overload, adjunct procedures are essential to decrease pressure off the lesser metatarsal and prevent re-rupture.

What is the term for a tear or tear in the broad ligament after abortion?

Laceration, perforation, tear or chemical damage of broad ligament following complete or unspecified spontaneous abortion. Laceration, perforation, tear or chemical damage of cervix following complete or unspecified spontaneous abortion.

What is a laceration in pregnancy?

Laceration, perforation, tear or chemical damage of bowel following an ectopic and molar pregnancy. Laceration, perforation, tear or chemical damage of broad ligament following an ectopic and molar pregnancy. Laceration, perforation, tear or chemical damage of cervix following an ectopic and molar pregnancy.