Find information on right great toe pain diagnosis, including clinical documentation, ICD-10 codes (M79.671, M25.571, G73.0), medical coding, differential diagnosis, and treatment options. Learn about common causes such as hallux rigidus, gout, osteoarthritis, and sesamoiditis. Explore resources for healthcare professionals on accurate coding and documentation for right great toe pain.
Also known as
Pain in right great toe
Pain localized to the right great toe.
Pain in right great toe joint
Pain specifically in the joint of the right great toe.
Other soft tissue disorders
Pain in the right great toe possibly due to soft tissue issues.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the right great toe pain due to trauma/injury?
Yes
Fracture confirmed?
No
Is it due to a medical condition?
When to use each related code
Description |
---|
Right great toe pain |
Right hallux rigidus |
Right ingrown toenail |
Using unspecified pain codes like M79.671 without sufficient documentation to support a more specific diagnosis leads to claim denials.
Failing to document right great toe laterality specifically can lead to coding errors and rejected claims. Use M79.671.
Coding only pain (M79.671) without addressing the underlying cause (e.g., gout, fracture) impacts reimbursement and data accuracy.
Patient presents with right great toe pain. Onset of pain is described as (acute, subacute, chronic) and began (duration) ago. The patient reports (quality of pain: sharp, dull, throbbing, aching, burning) pain located in the (dorsal, plantar, medial, lateral) aspect of the right great toe. Pain is (aggravated, alleviated) by (activities, rest, footwear). Associated symptoms include (swelling, redness, warmth, stiffness, limited range of motion, numbness, tingling). Patient denies (trauma, fever, chills, night sweats). Medical history includes (relevant medical conditions: gout, osteoarthritis, diabetes, peripheral neuropathy). Surgical history includes (previous foot surgeries). Medications include (current medications). Allergies include (allergies). Social history includes (tobacco use, alcohol use). Physical examination reveals (tenderness to palpation, erythema, edema, deformity, crepitus, limited range of motion of the right great toe). Diagnostic considerations include hallux rigidus, hallux valgus, sesamoiditis, gouty arthritis, osteoarthritis, fracture, ingrown toenail, infection. Differential diagnosis includes (alternative diagnoses). Treatment plan includes (conservative management: rest, ice, compression, elevation, NSAIDs, orthotics, physical therapy) andor (interventional procedures: corticosteroid injection, aspiration) andor (surgical intervention). Patient education provided regarding (diagnosis, treatment plan, activity modification, follow-up care). Follow-up scheduled in (duration). Referral to (specialist) if indicated.