Hallux valgus (acquired), right foot
ICD-10 M20.11 is a billable code used to indicate a diagnosis of hallux valgus (acquired), right foot.
Hallux valgus, commonly referred to as a bunion, is an acquired deformity characterized by lateral deviation of the great toe (hallux) at the metatarsophalangeal joint. This condition often results from a combination of genetic predisposition, improper footwear, and biomechanical factors. Patients may present with pain, swelling, and redness at the site of the bunion, which can lead to difficulty in walking and wearing shoes. The deformity can progress over time, causing further misalignment of the toes and potential development of secondary conditions such as metatarsalgia or hammertoe. Treatment options vary from conservative measures, such as orthotics and anti-inflammatory medications, to surgical interventions aimed at realigning the toe and alleviating pain. Surgical procedures may include osteotomy, exostectomy, or arthrodesis, depending on the severity of the deformity and the patient's overall health. Accurate coding of hallux valgus is essential for proper reimbursement and to reflect the complexity of the condition and its management.
Detailed clinical notes on the patient's history, physical examination findings, and treatment plan.
Patients presenting with pain and deformity in the great toe, requiring evaluation for surgical intervention.
Ensure documentation reflects the acquired nature of the deformity and any prior conservative treatments attempted.
Comprehensive assessment of foot mechanics, imaging studies, and surgical notes if applicable.
Patients with advanced hallux valgus requiring surgical correction or those with associated foot deformities.
Document any co-existing foot conditions that may affect treatment and coding.
Used for surgical correction of hallux valgus when conservative treatments fail.
Surgical notes detailing the procedure, indications, and post-operative care.
Podiatrists and orthopedic surgeons should ensure clear documentation of the surgical approach and any complications.
Common treatments include conservative measures such as orthotics, physical therapy, and anti-inflammatory medications. If these fail, surgical options like osteotomy or exostectomy may be considered.