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ICD-10 Guide
ICD-10 CodesG57.52

G57.52

Billable

Tarsal tunnel syndrome, left lower limb

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G57.52 is a billable code used to indicate a diagnosis of tarsal tunnel syndrome, left lower limb.

Key Diagnostic Point:

Tarsal tunnel syndrome is a condition characterized by compression of the posterior tibial nerve as it passes through the tarsal tunnel, a narrow space located on the inside of the ankle. This syndrome can lead to pain, numbness, and tingling in the foot and toes, particularly on the plantar surface. The left lower limb designation indicates that the symptoms are localized to the left foot. The condition may arise from various factors, including repetitive stress, trauma, or anatomical abnormalities. Patients often report symptoms that worsen with activity and improve with rest. Diagnosis typically involves a thorough clinical examination, patient history, and may include nerve conduction studies to assess the function of the posterior tibial nerve. Treatment options range from conservative measures, such as rest and orthotics, to surgical intervention in severe cases. Accurate coding is essential for proper reimbursement and to reflect the complexity of the condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other neuropathies
  • Need for detailed documentation of symptoms
  • Potential for co-existing conditions
  • Variability in treatment approaches

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to include nerve conduction study results
  • Misidentification of the affected limb
  • Lack of clarity on treatment plans

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including sensory and motor function assessments.

Common Clinical Scenarios

Patients presenting with foot pain, numbness, or tingling, particularly after physical activity.

Billing Considerations

Ensure documentation includes the duration and severity of symptoms, as well as any previous treatments attempted.

Orthopedics

Documentation Requirements

Assessment of anatomical structures, imaging studies if performed, and treatment plans.

Common Clinical Scenarios

Patients with a history of ankle injuries or those requiring surgical intervention for tarsal tunnel release.

Billing Considerations

Document any anatomical variations or previous surgeries that may contribute to nerve compression.

Coding Guidelines

Inclusion Criteria

Use G57.52 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the condition is confirmed by clinical findings
  • Include any relevant diagnostic tests and document the specific symptoms experienced by the patient

Exclusion Criteria

Do NOT use G57.52 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

95903CPT Code

Nerve conduction study, upper or lower limb

Clinical Scenario

Used to confirm diagnosis of tarsal tunnel syndrome.

Documentation Requirements

Document the specific nerves tested and the results of the study.

Specialty Considerations

Neurologists should ensure that the study is performed in accordance with established protocols.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like tarsal tunnel syndrome, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of patient outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like tarsal tunnel syndrome, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of patient outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like tarsal tunnel syndrome, improving the accuracy of diagnoses and treatment plans. This specificity aids in better tracking of patient outcomes and resource allocation.

Resources

Clinical References

  • •
    American Academy of Neurology
  • •
    American Academy of Orthopaedic Surgeons

Coding & Billing References

  • •
    American Academy of Neurology
  • •
    American Academy of Orthopaedic Surgeons

Frequently Asked Questions

What are the common symptoms of tarsal tunnel syndrome?

Common symptoms include pain, tingling, and numbness in the foot, particularly along the plantar surface, which may worsen with activity and improve with rest.

How is tarsal tunnel syndrome diagnosed?

Diagnosis typically involves a clinical examination, patient history, and may include nerve conduction studies to assess the function of the posterior tibial nerve.

What treatment options are available for tarsal tunnel syndrome?

Treatment options range from conservative measures such as rest and orthotics to surgical intervention in severe cases.