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ICD-10 Guide
ICD-10 CodesM21.372

M21.372

Billable

Foot drop, left foot

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

Code Description

ICD-10 M21.372 is a billable code used to indicate a diagnosis of foot drop, left 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 a dragging of the foot while walking. This condition can be unilateral, as in the case of M21.372, which specifies foot drop of the left foot. Acquired foot drop is often due to neurological conditions, such as peroneal nerve injury, stroke, multiple sclerosis, or muscular dystrophy. It may also arise from orthopedic issues, such as a fracture or surgery affecting the ankle or knee. Patients with foot drop may exhibit a steppage gait, where they lift their knee higher than normal to avoid dragging the foot. This can lead to secondary complications, including falls and injuries. Treatment options may include physical therapy, ankle-foot orthoses (AFOs), and in some cases, surgical interventions to correct the underlying cause. Understanding the etiology of foot drop is crucial for effective management and rehabilitation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between acquired and congenital foot drop
  • Identifying the underlying cause of the condition
  • Documenting associated neurological or orthopedic conditions
  • Understanding the impact of comorbidities on treatment

Audit Risk Factors

  • Inadequate documentation of the underlying cause
  • Failure to specify laterality (left vs. right)
  • Misclassification of foot drop as a congenital condition
  • Lack of supporting clinical evidence for the diagnosis

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, including motor function tests and nerve conduction studies.

Common Clinical Scenarios

Patients presenting with unilateral weakness, history of stroke, or peripheral neuropathy.

Billing Considerations

Ensure documentation reflects the neurological assessment and any imaging studies performed.

Orthopedics

Documentation Requirements

Surgical reports, imaging studies, and physical examination findings related to the lower extremity.

Common Clinical Scenarios

Post-operative patients with foot drop following knee or ankle surgery.

Billing Considerations

Document any orthopedic interventions and their outcomes to support coding.

Coding Guidelines

Inclusion Criteria

Use M21.372 When
  • According to ICD
  • 10 guidelines, M21
  • 372 should be used when the foot drop is specifically acquired and affects the left foot
  • It is essential to document the cause of the foot drop and any associated conditions to ensure accurate coding

Exclusion Criteria

Do NOT use M21.372 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 requires an AFO due to foot drop.

Documentation Requirements

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

Specialty Considerations

Orthopedic specialists should provide detailed notes on the fitting and adjustments of the orthosis.

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, improving the accuracy of patient records and facilitating better treatment planning.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like foot drop, improving the accuracy of patient records and facilitating better treatment planning.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like foot drop, improving the accuracy of patient records and facilitating better treatment planning.

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 is primarily caused by weakness or paralysis of the muscles that lift the foot, often due to peroneal nerve injury, neurological disorders, or orthopedic issues.