ICD-10 Coding for Hallux Valgus Right Foot(M20.11)
Complete ICD-10-CM coding and documentation guide for Hallux Valgus Right Foot. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hallux Valgus Right Foot
M20.1-M20.19Primary Range
Acquired deformities of toes
This range includes codes for acquired deformities of the toes, including hallux valgus.
Congenital deformities of feet
This range includes codes for congenital deformities of the feet, which may be relevant if the hallux valgus is congenital.
Key Information: ICD-10 code for hallux valgus right foot
Essential facts and insights about Hallux Valgus Right Foot
Primary ICD-10-CM Code for hallux valgus right foot
Decision Criteria
clinical Criteria
- Presence of structural deformity confirmed by imaging
documentation Criteria
- Explicit mention of 'hallux valgus' and laterality
Applicable To
- Acquired hallux valgus with structural deformity
Excludes
- Congenital hallux valgus (Q66.211)
Clinical Validation Requirements
- Radiographic confirmation with HVA ≥15° and IMA ≥9°
- Documentation of acquired etiology
Code-Specific Risks
- Incorrectly coding as bunion (M21.611) without structural deformity
Coding Notes
- Ensure documentation specifies 'hallux valgus' and includes radiographic findings.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Congenital metatarsus primus varus, right foot
Q66.211Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Bunion, right foot
M21.611Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hallux Valgus Right Foot to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M20.11.
Impact
Clinical: Ambiguity in treatment planning., Regulatory: Potential for audit issues., Financial: Risk of claim denials.
Mitigation Strategy
Always document laterality in clinical notes., Use templates that prompt for laterality.
Impact
Reimbursement: May lead to claim denials if coded as M21.611., Compliance: Non-compliance with ICD-10 coding standards., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure documentation specifies 'hallux valgus' with structural deformity.
Impact
Using M21.611 instead of M20.11 for cases with structural deformity.
Mitigation Strategy
Educate staff on the differences between bunion and hallux valgus coding.
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 Right Foot, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hallux Valgus Right Foot
Use these documentation templates to ensure complete and accurate documentation for Hallux Valgus Right Foot. These templates include all required elements for proper coding and billing.
Podiatry Progress Note
Specialty: PodiatryRequired Elements
- Location of deformity
- Subjective symptoms
- Objective findings
- Radiographic measurements
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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