Facebook tracking pixel
M79.671
ICD-10-CM
Right Great Toe Pain

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

Right Big Toe Pain
Pain in Right Hallux

Diagnosis Snapshot

Key Facts
  • Definition : Pain localized to the right great toe, varying in intensity and character.
  • Clinical Signs : Swelling, redness, limited movement, tenderness to touch, possible deformity.
  • Common Settings : Ingrown toenail, gout, bunion, arthritis, injury (stubbing, fracture).

Related ICD-10 Code Ranges

Complete code families applicable to AAPC M79.671 Coding
M79.671

Pain in right great toe

Pain localized to the right great toe.

M25.571

Pain in right great toe joint

Pain specifically in the joint of the right great toe.

M79.60-

Other soft tissue disorders

Pain in the right great toe possibly due to soft tissue issues.

Code-Specific Guidance

Decision Tree for

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?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Right great toe pain
Right hallux rigidus
Right ingrown toenail

Documentation Best Practices

Documentation Checklist
  • Right great toe pain: Onset, duration, character
  • Location: Precise anatomical location of pain
  • Aggravating/relieving factors documented
  • Associated symptoms: Numbness, tingling, etc.
  • Physical exam: ROM, tenderness, swelling

Coding and Audit Risks

Common Risks
  • Unspecified Pain Code

    Using unspecified pain codes like M79.671 without sufficient documentation to support a more specific diagnosis leads to claim denials.

  • Lacking Laterality

    Failing to document right great toe laterality specifically can lead to coding errors and rejected claims. Use M79.671.

  • Underlying Cause Missed

    Coding only pain (M79.671) without addressing the underlying cause (e.g., gout, fracture) impacts reimbursement and data accuracy.

Mitigation Tips

Best Practices
  • Document precise great toe pain location using ICD-10 codes for accurate billing.
  • Evaluate for hallux rigidus, gout, or onychocryptosis: specify laterality in CDI queries.
  • Capture complete history including symptom onset, duration, and quality for HCC coding.
  • Ensure compliant documentation of pain management plan, linking to diagnoses for audits.
  • Order appropriate imaging and lab tests, documenting clinical rationale for compliance.

Clinical Decision Support

Checklist
  • Confirm right great toe pain location, onset, character.
  • Assess ROM, palpation for tenderness, edema, erythema.
  • Evaluate for gout, hallux rigidus, fracture, infection.
  • Review imaging if indicated (X-ray, MRI).
  • Document diagnosis, plan, patient education.

Reimbursement and Quality Metrics

Impact Summary
  • Right Great Toe Pain: ICD-10 M79.671 impacts reimbursement through specific coding guidelines.
  • Coding accuracy for M79.671 affects hospital reporting metrics and value-based care.
  • Proper documentation of toe pain laterality is crucial for correct M79.671 coding and claim processing.
  • Physician queries impact quality scores by ensuring specificity in M79.671 diagnosis coding.

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
  • Code specific toe pain location
  • Document pain characteristics
  • Consider M79.671 for gout
  • Rule out hallux rigidus
  • Check for onychocryptosis

Documentation Templates

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.
Right Great Toe Pain - AI-Powered ICD-10 Documentation