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M25.176

Billable

Fistula, unspecified foot

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

An abnormal tunnel or opening in a foot joint of unspecified side that allows fluid or infection to drain to the skin surface.

Coding Tips

  • Use only when laterality cannot be determined from documentation
  • Query provider if right or left foot can be identified from clinical notes or imaging

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