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

Find information on right toe pain diagnosis, including differential diagnoses, ICD-10 codes (M79.671, M79.672, G89.29), medical coding guidelines, clinical documentation best practices, and relevant healthcare resources. Learn about common causes of right great toe pain, right fifth toe pain, right toe joint pain, and other right foot pain locations. Explore treatment options, symptoms, and when to seek medical attention for toe pain on the right foot. This resource is for healthcare professionals, medical coders, and patients seeking accurate information regarding right toe pain.

Also known as

Pain in Right Toe
Right Great Toe Pain

Diagnosis Snapshot

Key Facts
  • Definition : Discomfort or pain in the right toe, ranging from mild to severe.
  • Clinical Signs : Swelling, redness, bruising, limited movement, tenderness to touch, ingrown toenail, bunion.
  • Common Settings : Trauma, overuse, arthritis, gout, infection, footwear issues, fracture, ingrown toenail.

Related ICD-10 Code Ranges

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

Right toe pain

Pain localized to the right toe.

M25.571

Pain in right toe joint

Pain specifically in the joints of the right toe.

S00-T98

Injury, poisoning, external causes

Could include injuries causing right toe pain like fractures or sprains.

Code-Specific Guidance

Decision Tree for

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

Is the right toe pain due to trauma?

Code Comparison

Related Codes Comparison

When to use each related code

Description
Right Toe Pain
Right Hallux Valgus
Right Toe Fracture

Documentation Best Practices

Documentation Checklist
  • Right toe pain: Onset, duration, character
  • Location: Specify toe, joint, nail, etc.
  • Aggravating/relieving factors documented
  • Physical exam: Palpation, ROM, pulses
  • Associated symptoms: Numbness, tingling, swelling

Coding and Audit Risks

Common Risks
  • Unspecified Pain Code

    Using unspecified codes like M79.671 (Pain in right toe) without sufficient documentation to support a more specific diagnosis leads to inaccurate coding and lost revenue.

  • Lateral vs. Medial Pain

    Lack of laterality documentation (medial vs. lateral right toe) may lead to improper coding, affecting claims processing and quality metrics.

  • Underlying Condition Miss

    Failing to code underlying conditions contributing to right toe pain (e.g., gout, fracture) causes underreporting of patient complexity and inaccurate reimbursement.

Mitigation Tips

Best Practices
  • Accurate ICD-10 coding (M79.67x) for right toe pain.
  • Specific laterality documentation (right vs left toe) improves coding.
  • Detailed HPI of pain onset, location, type enhances CDI, reduces audits.
  • Document pain management plans for compliance with regulatory guidelines.
  • Regular review of right toe pain documentation ensures coding accuracy.

Clinical Decision Support

Checklist
  • Verify laterality: Right toe confirmed
  • Assess pain characteristics: Onset, location, type
  • Physical exam: Palpation, ROM, pulses, skin
  • Review imaging: X-ray, MRI if indicated
  • Consider differentials: Gout, fracture, infection

Reimbursement and Quality Metrics

Impact Summary
  • Right Toe Pain: Coding accuracy impacts reimbursement for M79.67 (other toe disorders), M25.571 (hallux rigidus), etc.
  • Accurate ICD-10 coding (M79.67, M25.571, etc.) improves hospital reporting data quality.
  • Proper documentation of right toe pain diagnosis supports medical necessity for billed services, maximizing reimbursement.
  • Quality metrics for patient outcomes (e.g., pain reduction, mobility) tied to accurate right toe pain diagnosis coding.

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
  • Code specific toe joint
  • Document pain location
  • Rule out referred pain
  • Consider laterality code
  • Check for injury details

Documentation Templates

Patient presents with right toe pain. Onset of pain is described as (acute, subacute, chronic) and began (duration) ago.  Location of pain is specified as (e.g., distal, proximal, medial, lateral aspect of the great toe, second toe, etc.) and is characterized as (e.g., sharp, dull, throbbing, aching, burning).  Patient reports (presence or absence) of associated symptoms such as swelling, redness, warmth, bruising, numbness, tingling, or difficulty bearing weight.  Aggravating factors include (e.g., walking, running, shoes, rest).  Alleviating factors include (e.g., rest, elevation, ice, medication).  Past medical history is significant for (relevant conditions such as diabetes, gout, arthritis, peripheral neuropathy).  Surgical history includes (any relevant foot or toe surgeries).  Medications include (list current medications).  Allergies include (list any allergies).  Social history includes (tobacco use, alcohol use).  Family history is (positive or negative) for relevant conditions.  Physical examination reveals (e.g., tenderness to palpation, range of motion limitations, edema, erythema, skin changes, deformity).  Differential diagnosis includes ingrown toenail, hallux valgus, hammertoe, Morton's neuroma, fracture, arthritis, gout, infection, and peripheral neuropathy.  Assessment is right toe pain, likely due to (working diagnosis).  Plan includes (e.g., radiographs, blood work, referral to podiatry, pain management with NSAIDs, ice, elevation, rest, activity modification, orthotics, splinting).  Patient education provided regarding (e.g., home care instructions, follow-up appointment).  Return to clinic in (duration) for reevaluation.