ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesG57.5

G57.5

Billable

Tarsal tunnel syndrome

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

Code Description

ICD-10 G57.5 is a billable code used to indicate a diagnosis of tarsal tunnel syndrome.

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 symptoms such as pain, numbness, tingling, and weakness in the foot and toes. The condition is often caused by repetitive stress, trauma, or anatomical abnormalities that lead to swelling or inflammation in the area. Patients may experience 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, ice, and anti-inflammatory medications to more invasive procedures like corticosteroid injections or surgical decompression in severe cases. Understanding the underlying causes and appropriate management strategies is crucial for effective treatment and recovery.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and symptoms
  • Need for differential diagnosis to rule out other neuropathies
  • Potential for co-existing conditions affecting coding
  • Documentation requirements for nerve conduction studies

Audit Risk Factors

  • Inadequate documentation of symptoms and clinical findings
  • Failure to document nerve conduction studies when indicated
  • Misclassification of the condition as a different neuropathy
  • Lack of follow-up documentation post-treatment

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, results of nerve conduction studies, and treatment plans.

Common Clinical Scenarios

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

Billing Considerations

Ensure comprehensive documentation of neurological deficits and response to treatment.

Orthopedics

Documentation Requirements

Surgical notes if decompression is performed, imaging studies, and pre-operative assessments.

Common Clinical Scenarios

Patients with chronic ankle pain or those requiring surgical intervention for tarsal tunnel syndrome.

Billing Considerations

Document any anatomical abnormalities contributing to the condition.

Coding Guidelines

Inclusion Criteria

Use G57.5 When
  • Follow the official ICD
  • CM guidelines for coding and reporting
  • Ensure that the diagnosis is supported by clinical documentation and that any relevant tests, such as nerve conduction studies, are documented

Exclusion Criteria

Do NOT use G57.5 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

95903CPT Code

Nerve conduction study, each nerve; motor, sensory, or mixed

Clinical Scenario

Used to evaluate the function of the posterior tibial nerve in suspected tarsal tunnel syndrome.

Documentation Requirements

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

Specialty Considerations

Neurologists should ensure that the rationale for testing is clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

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

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

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

Resources

Clinical References

  • •
    American Academy of Neurology - Tarsal Tunnel Syndrome

Coding & Billing References

  • •
    American Academy of Neurology - Tarsal Tunnel Syndrome

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 arch and toes, which may worsen with activity.

How is tarsal tunnel syndrome diagnosed?

Diagnosis is typically made through clinical evaluation and may be confirmed with 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 like rest and anti-inflammatory medications to surgical decompression in more severe cases.