ICD-10 Coding for Hallux Valgus Left(M20.12)
Complete ICD-10-CM coding and documentation guide for Hallux Valgus Left. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hallux Valgus Left
M20.1-M20.12Primary Range
Acquired deformities of toes
This range includes codes for acquired deformities of the toes, specifically hallux valgus.
Congenital deformities of feet
This range includes codes for congenital deformities, which are not typically used for acquired hallux valgus.
Key Information: ICD-10 code for hallux valgus left foot
Essential facts and insights about Hallux Valgus Left
Primary ICD-10-CM Code for hallux valgus left
Decision Criteria
clinical Criteria
- Presence of medial deviation of 1st metatarsal and lateral deviation of hallux
documentation Criteria
- Radiographic confirmation with HAV angle >15° and IM angle >9°
Applicable To
- Bunion of left foot
Excludes
- Congenital hallux valgus (Q66.212)
Clinical Validation Requirements
- Medial deviation of 1st metatarsal
- Lateral deviation of hallux
- HAV angle >15°
- IM angle >9°
Code-Specific Risks
- Confusing with congenital deformities
- Using unspecified codes despite available specificity
Coding Notes
- Ensure documentation specifies 'acquired' and includes radiographic angles.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Congenital metatarsus primus varus, left foot
Q66.212Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hallux Valgus Left to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M20.12.
Impact
Clinical: Leads to inaccurate clinical records., Regulatory: Non-compliance with ICD-10 specificity requirements., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Ensure documentation specifies laterality and acquired nature., Use specific codes when criteria are met.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with specificity requirements., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Query for specific angles or use M21.612 if hallux valgus criteria are not met.
Impact
Risk of using unspecified codes when specific codes are applicable.
Mitigation Strategy
Ensure thorough documentation and use of specific codes.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Hallux Valgus Left, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hallux Valgus Left
Use these documentation templates to ensure complete and accurate documentation for Hallux Valgus Left. These templates include all required elements for proper coding and billing.
Podiatry Progress Note
Specialty: PodiatryRequired Elements
- Subjective pain description
- Objective findings including ROM and TTP
- Radiographic angles
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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