Tarsal tunnel syndrome, bilateral lower limbs
ICD-10 G57.53 is a billable code used to indicate a diagnosis of tarsal tunnel syndrome, bilateral lower limbs.
Tarsal tunnel syndrome (TTS) is a condition characterized by the compression of the posterior tibial nerve as it passes through the tarsal tunnel, located behind the medial malleolus of the ankle. This syndrome can lead to pain, numbness, tingling, and weakness in the foot and lower leg. When bilateral, symptoms may manifest symmetrically in both lower limbs, complicating diagnosis and treatment. The condition can arise from various factors, including anatomical abnormalities, systemic diseases such as diabetes, or repetitive stress injuries. 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 like orthotics and physical therapy to surgical interventions in severe cases. Accurate coding is essential for proper reimbursement and to reflect the complexity of the patient's condition.
Detailed neurological examination findings and results of nerve conduction studies.
Patients presenting with bilateral foot pain and numbness.
Ensure clear documentation of symptoms and diagnostic tests to support the diagnosis.
Surgical notes if intervention is performed, including pre-operative and post-operative assessments.
Patients requiring surgical decompression of the tarsal tunnel.
Document any anatomical abnormalities contributing to the syndrome.
Used in surgical treatment of TTS when conservative measures fail.
Surgical notes detailing the procedure and indications.
Orthopedic documentation must include pre-operative assessments.
Common symptoms include pain, numbness, tingling, and weakness in the foot, particularly along the distribution of the posterior tibial nerve.
