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v1.0.0
ICD-10 Guide
ICD-10 CodesM21.379

M21.379

Billable

Foot drop, unspecified foot

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/17/2025

Code Description

ICD-10 M21.379 is a billable code used to indicate a diagnosis of foot drop, unspecified foot.

Key Diagnostic Point:

Foot drop, also known as drop foot, is a condition characterized by difficulty in lifting the front part of the foot, leading to dragging of the foot while walking. This condition can be caused by various factors, including nerve injury, muscle disorders, or neurological conditions such as stroke or multiple sclerosis. In the case of M21.379, the foot drop is unspecified, meaning that the underlying cause has not been clearly identified or documented. Acquired deformities, such as those resulting from trauma or surgery, can lead to foot drop due to weakness or paralysis of the muscles responsible for dorsiflexion. Additionally, foot drop can be associated with other toe abnormalities, such as hallux valgus, where the big toe deviates laterally, potentially complicating the gait and further exacerbating the foot drop. Corrective procedures may include physical therapy, the use of ankle-foot orthoses (AFOs), or surgical interventions aimed at restoring function or correcting the underlying deformity. Accurate coding for foot drop is essential for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in underlying causes of foot drop
  • Need for detailed documentation of associated conditions
  • Differentiation from other similar codes
  • Potential for co-morbidities affecting coding

Audit Risk Factors

  • Insufficient documentation of the underlying cause
  • Inconsistent use of the unspecified code
  • Lack of clarity in treatment plans
  • Failure to document associated conditions

Specialty Focus

Medical Specialties

Orthopedics

Documentation Requirements

Detailed history of the patient's condition, including any trauma or surgical history, and physical examination findings.

Common Clinical Scenarios

Patients presenting with foot drop following ankle surgery or trauma.

Billing Considerations

Documentation should clearly outline the functional limitations and any associated deformities.

Neurology

Documentation Requirements

Comprehensive neurological examination findings, including any imaging studies that support the diagnosis.

Common Clinical Scenarios

Patients with foot drop due to stroke or multiple sclerosis.

Billing Considerations

Documenting the neurological assessment is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use M21.379 When
  • According to ICD
  • 10 guidelines, M21
  • 379 should be used when the specific cause of foot drop is not documented
  • Coders should ensure that the documentation supports the diagnosis and consider any associated conditions

Exclusion Criteria

Do NOT use M21.379 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

29530CPT Code

Application of a lower extremity orthosis

Clinical Scenario

Used when a patient with foot drop is fitted with an AFO.

Documentation Requirements

Document the need for the orthosis and the patient's functional limitations.

Specialty Considerations

Orthopedic specialists should ensure that the orthosis is appropriate for the specific type of foot drop.

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 foot drop, enabling better tracking of treatment outcomes and resource allocation. M21.379 provides a way to capture cases where the cause is not specified, but it also emphasizes the need for thorough documentation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like foot drop, enabling better tracking of treatment outcomes and resource allocation. M21.379 provides a way to capture cases where the cause is not specified, but it also emphasizes the need for thorough documentation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like foot drop, enabling better tracking of treatment outcomes and resource allocation. M21.379 provides a way to capture cases where the cause is not specified, but it also emphasizes the need for thorough documentation.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the primary cause of foot drop?

Foot drop can be caused by a variety of factors, including nerve injury, muscle disorders, or neurological conditions. The specific cause may not always be documented, leading to the use of the unspecified code M21.379.