Facebook tracking pixel
M20.10
ICD-10-CM
Hallux Valgus

Find information on Hallux Valgus (Bunion) diagnosis, including ICD-10 code M20.1 and related medical billing codes. Learn about clinical documentation requirements for Hallux Valgus deformity, bunionette, and associated conditions like metatarsus primus varus. Explore resources for healthcare professionals covering Hallux Valgus treatment, surgical procedures like bunionectomy, and post-operative care. Understand the signs, symptoms, and diagnostic criteria for Hallux Valgus in this comprehensive guide for accurate medical coding and documentation.

Also known as

Bunion
Metatarsus Primus Varus

Diagnosis Snapshot

Key Facts
  • Definition : Lateral deviation of the great toe at the metatarsophalangeal joint.
  • Clinical Signs : Bunion, pain, redness, swelling, limited joint movement, overlapping toes.
  • Common Settings : Primary care, podiatry, orthopedics, physical therapy.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M20.10 Coding
M20.1

Hallux valgus (acquired)

Bony bump at the base of the big toe.

M20.0

Hallux rigidus

Stiffness and limited movement of the big toe joint.

M25.5

Pain in the toe(s)

Pain localized to the toes, including hallux valgus pain.

Q66.8

Other congenital deformities of foot

Includes congenital hallux valgus, present from birth.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Is the hallux valgus acquired?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Bunion deformity of the great toe
Hammer toe deformity
Metatarsalgia

Documentation Best Practices

Documentation Checklist
  • Hallux valgus diagnosis documented
  • Laterality (left or right) specified
  • Severity (mild, moderate, severe) noted
  • ROM limitations documented if present
  • Associated symptoms (e.g., pain, bunion) recorded

Coding and Audit Risks

Common Risks
  • Laterality Coding Errors

    Incorrect or missing laterality (right, left, bilateral) for Hallux Valgus (M20.1) impacts reimbursement and data accuracy.

  • Unspecified M20.1 Use

    Coding with unspecified M20.1 when more specific bunion diagnoses (e.g., with bursitis) are documented leads to undercoding.

  • Missed Associated Conditions

    Overlooking coexisting conditions like hammer toe, metatarsalgia, or overlapping fifth toe with Hallux Valgus affects DRG assignment.

Mitigation Tips

Best Practices
  • Conservative treatment: Orthotics, wider shoes, padding. ICD-10: M20.1
  • Pain management: NSAIDs, ice, injections. CPT: 20600-20611
  • Surgical intervention for severe cases: Bunionectomy. CPT: 28296
  • Document deformity, pain levels, ROM, and treatment response. CDI best practice
  • Ensure proper coding for billing and compliance. HCPCS: L3030

Clinical Decision Support

Checklist
  • 1. Palpate 1st MTP joint for lateral deviation
  • 2. Assess forefoot splay and bunion prominence
  • 3. Evaluate ROM and pain during MTP joint motion
  • 4. Document severity using Manchester Scale score

Reimbursement and Quality Metrics

Impact Summary
  • Hallux Valgus reimbursement hinges on accurate ICD-10 (M20.1-) and CPT coding (e.g., 28296, 28292) for bunionectomy, exostectomy impacting hospital revenue cycle.
  • Coding quality directly impacts Hallux Valgus claims denial rates. Proper documentation of severity, laterality modifiers ensures appropriate reimbursement levels.
  • Hospital quality reporting for Hallux Valgus involves tracking surgical site infections (SSI), pain management, functional outcomes affecting public ratings.
  • Patient satisfaction scores related to Hallux Valgus pain relief, mobility improvement post-surgery influence value-based care reimbursement models.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes. Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • ICD-10 M20.1 Hallux Valgus
  • Laterality: Use modifiers RT/LT
  • Document bunion severity
  • X-ray: Confirm diagnosis
  • Consider associated deformities

Documentation Templates

Patient presents with complaints consistent with hallux valgus, commonly known as a bunion.  The patient reports pain, swelling, and redness at the first metatarsophalangeal joint (MTPJ) of the affected foot.  Symptoms are exacerbated by weight-bearing activities and wearing tight shoes.  On physical examination, a prominent medial eminence at the first MTPJ is observed, with associated lateral deviation of the great toe (hallux).  Range of motion of the first MTPJ is limited and painful.  The patient's forefoot demonstrates widening and possible overlapping with the second toe.  Assessment includes evaluation for associated conditions such as hammertoe, metatarsalgia, and sesamoiditis.  Differential diagnoses include gout, arthritis, and bursitis.  Initial treatment plan includes conservative management with wider shoe gear, orthotics, padding, and nonsteroidal anti-inflammatory drugs (NSAIDs).  Patient education regarding activity modification and proper footwear will be provided.  Surgical intervention, such as a bunionectomy (e.g., Chevron osteotomy, Lapidus procedure), may be considered if conservative treatment fails to provide adequate relief.  ICD-10 code M20.10 will be used for Hallux Valgus, unspecified foot.  Follow-up appointment scheduled in four weeks to assess response to treatment and discuss further management options.