ICD-10 Coding for Bunionectomy(M20.10)
Complete ICD-10-CM coding and documentation guide for Bunionectomy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bunionectomy
M20.1-M20.19Primary Range
Hallux valgus (acquired)
This range covers the ICD-10 codes for hallux valgus, which is the primary condition treated by bunionectomy.
Key Information: ICD-10 code for bunionectomy
Essential facts and insights about Bunionectomy
Primary ICD-10-CM Code for bunionectomy
Decision Criteria
clinical Criteria
- Radiographic evidence of hallux valgus
documentation Criteria
- Failure of conservative treatment documented
Applicable To
- Bunion
Excludes
- Congenital hallux valgus (Q66.5)
Clinical Validation Requirements
- Radiographic evidence of hallux valgus
- Documented failure of conservative treatment
Code-Specific Risks
- Lack of specificity may lead to claim denials.
Coding Notes
- Ensure documentation specifies acquired nature.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Presence of right artificial ankle joint
Z96.651Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Congenital hallux valgus
Q66.5Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bunionectomy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code M20.10.
Impact
Clinical: May affect surgical outcome documentation., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Ensure operative report includes sesamoidectomy details.
Impact
Reimbursement: May result in reduced reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Use specific codes for right (M20.11) or left (M20.12) hallux valgus.
Impact
High risk of audit for using unspecified codes when laterality is documented.
Mitigation Strategy
Use specific codes for right or left foot.
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 Bunionectomy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bunionectomy
Use these documentation templates to ensure complete and accurate documentation for Bunionectomy. These templates include all required elements for proper coding and billing.
Bunionectomy with osteotomy
Specialty: PodiatryRequired Elements
- Preoperative diagnosis
- Procedure details
- Postoperative findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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