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M20.11
ICD-10-CM
Hallux Valgus Right Foot

Find information on Hallux Valgus Right Foot diagnosis, including ICD-10 code M20.11, clinical documentation requirements, and medical coding guidelines. Learn about bunion treatment, symptoms, and diagnostic criteria for Hallux Abducto Valgus right foot. This resource provides essential information for healthcare professionals, coders, and billers seeking accurate and up-to-date information on Hallux Valgus Right Foot.

Also known as

Bunion
Hallux Abducto Valgus

Diagnosis Snapshot

Key Facts
  • Definition : Bony bump at the base of the big toe, causing it to angle inwards.
  • Clinical Signs : Painful, swollen big toe joint, redness, bunion, limited movement, difficulty wearing shoes.
  • Common Settings : Primary care, podiatry, orthopedics, physical therapy, surgical centers.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M20.11 Coding
M20.10-M20.19

Hallux valgus (acquired)

Acquired bunion deformity of the right foot.

M20.0-M20.9

Acquired deformities of toe(s)

Covers various acquired toe deformities, including hallux valgus.

M21.0-M21.9

Other acquired deformities of forefoot

Includes other forefoot deformities that may accompany hallux valgus.

Q66.0-Q66.9

Congenital deformities of toe(s)

While less common, congenital hallux valgus is included here.

Code-Specific Guidance

Decision Tree for

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

Is the hallux valgus acquired or congenital?

  • Acquired

    With bunion?

  • Congenital

    With bunion?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Bunion right foot
Hallux rigidus right foot
Metatarsalgia right foot

Documentation Best Practices

Documentation Checklist
  • Hallux valgus right foot diagnosis documented
  • Severity (mild, moderate, severe) specified
  • Presence/absence of bunion noted
  • Limited ROM or pain with motion documented
  • Impact on gait/weight-bearing status

Coding and Audit Risks

Common Risks
  • Laterality Coding Error

    Incorrectly coding left or unspecified foot instead of right, leading to inaccurate claims and potential denials. ICD-10-CM, M72.11, hallux valgus.

  • Unspecified Bunion

    Coding with a less specific bunion diagnosis when documentation supports hallux valgus, affecting reimbursement and data analysis. Medical coding audit, healthcare compliance.

  • Missing Associated Conditions

    Failing to code coexisting conditions like bursitis or arthritis, impacting DRG assignment and quality reporting. CDI, clinical documentation improvement.

Mitigation Tips

Best Practices
  • Maintain ideal weight to reduce pressure. ICD-10 M20.11
  • Wear wide, comfortable shoes. Avoid high heels. CPT 28296
  • Use orthotics or bunion pads for support and pain relief. HCPCS L3030
  • Regular stretching and strengthening exercises. ICD-10 M20.10
  • Consult physician for corticosteroid injections or surgery. CPT 28292

Clinical Decision Support

Checklist
  • 1. Palpate 1st MTP joint for lateral deviation
  • 2. Assess bunion prominence and pain level
  • 3. Evaluate ROM limitation and crepitus
  • 4. Review imaging for IM angle >15 degrees
  • 5. Document severity (mild, moderate, severe)

Reimbursement and Quality Metrics

Impact Summary
  • Hallux Valgus Right Foot Reimbursement: ICD-10-CM M20.11, CPT 28296 (bunionectomy), accurate coding maximizes payment.
  • Quality Metrics Impact: Surgical site infection (SSI) tracking, post-op pain management reporting affect hospital quality scores.
  • Coding Accuracy Impact: Proper laterality coding (right foot) ensures accurate data for registries and reimbursement.
  • Hospital Reporting Impact: Hallux valgus data influences resource allocation, procedure volume tracking, and quality improvement initiatives.

Streamline Your Medical Coding

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

Quick Tips

Practical Coding Tips
  • M72.1 Right foot, specify laterality
  • Hallux valgus ICD-10 M72.1
  • Document bunion deformity details
  • Check for associated conditions
  • Exclude hammertoe, overlapping toe

Documentation Templates

Patient presents with complaints consistent with hallux valgus deformity of the right foot.  Symptoms include pain, swelling, and redness at the first metatarsophalangeal joint (MTPJ), exacerbated by weight-bearing activities and footwear.  Physical examination reveals lateral deviation of the hallux (great toe), prominence of the medial eminence (bunion), and limited range of motion of the first MTPJ.  Associated findings may include overlapping toes, hammertoe deformities, calluses, and bursitis.  Diagnosis of right foot hallux valgus is confirmed based on clinical presentation and physical exam findings.  Differential diagnosis includes gout, arthritis, and sesamoiditis.  Initial treatment plan includes conservative management with wider footwear, orthotics, padding, and nonsteroidal anti-inflammatory drugs (NSAIDs) for pain management.  Patient education provided regarding proper footwear selection and activity modification.  Surgical intervention, such as a bunionectomy (e.g., Chevron osteotomy, Lapidus procedure), will be considered if conservative measures fail to provide adequate relief.  Follow-up appointment scheduled to assess treatment response and discuss further management options.  ICD-10 code M20.11 (Hallux valgus (acquired), right foot) is assigned.