Bunionette
ICD-10 M21.62 is a billable code used to indicate a diagnosis of bunionette.
A bunionette, also known as a tailor's bunion, is an acquired deformity characterized by a bony prominence on the lateral aspect of the fifth metatarsal head. This condition typically arises due to a combination of genetic predisposition and biomechanical factors, such as abnormal foot mechanics or footwear choices that place excessive pressure on the fifth toe. Patients may present with pain, swelling, and redness at the site of the bunionette, which can lead to difficulty in wearing shoes and performing daily activities. The deformity can be exacerbated by conditions such as hallux valgus, where the big toe deviates laterally, causing misalignment in the foot structure. Treatment options range from conservative measures, such as orthotics and padding, to surgical interventions aimed at correcting the deformity and alleviating pain. Surgical procedures may include osteotomy of the fifth metatarsal, excision of the bony prominence, or realignment of the toe. Accurate diagnosis and coding are essential for appropriate management and reimbursement.
Detailed clinical notes on the patient's history, physical examination findings, and treatment plan.
Patients presenting with foot pain, difficulty in shoe fitting, or prior conservative treatments.
Ensure to document the impact of the bunionette on the patient's daily activities and any previous treatments attempted.
Comprehensive assessment including imaging studies and surgical notes if applicable.
Patients requiring surgical intervention for bunionette correction or those with associated foot deformities.
Document any co-existing conditions that may affect surgical outcomes or recovery.
Used when surgical correction of a bunionette is performed.
Surgical notes detailing the procedure and any complications.
Podiatrists and orthopedic surgeons should ensure clear documentation of the surgical approach.
Bunionettes are primarily caused by genetic factors, improper footwear, and abnormal foot mechanics that lead to lateral deviation of the fifth toe.
Diagnosis is typically made through a physical examination and patient history, with imaging studies used to assess the severity if necessary.
Treatment options include conservative measures like orthotics and padding, as well as surgical interventions such as osteotomy or excision of the bony prominence.
