ICD 10 CM M20.12 | Description & Clinical Information

ICD 10 M20.12 describes a foot condition known as hallux valgus, or bunion, which is characterized by a gradual and progressive deformity of the left foot that is not inherited, involving the lateral or sideways movement of the great toe towards the second toe, resulting in a visible bump on the side of the foot, and a deformity of the bone of the first metatarsophalangeal joint, which is the joint where the head of the metatarsal bone attaches to the first bone of the big toe, causing pain, discomfort, and difficulty in walking or wearing shoes.

Official Description Of M20.12

The ICD 10 CM book defines ICD 10 code M20.12 as:

Hallux valgus (acquired), left foot
Parent Code Notes: M20.1

Excludes2: bunion (M21.6-)

Parent Code Notes: M20

Excludes1: acquired absence of fingers and toes (Z89.-)
congenital absence of fingers and toes (Q71.3-, Q72.3-)
congenital deformities and malformations of fingers and toes (Q66.-, Q68-Q70, Q74.-)

When To Use M20.12

The diagnosis describes by the ICD-10-CM M20.12 code refers to a common foot condition known as hallux valgus. This condition develops when the big toe is pointing away from the second toe, creating an angle and forming a bony bump near the joint at the base of the big toe, called a bunion.

Hallux valgus is often accompanied by pain at the bunion site that worsens with activity, causing redness, inflammation, and difficulty in wearing certain types of shoes, especially those with a pointed toe. Some patients may also experience burning and tingling sensations in the bunion area.

To diagnose the condition, healthcare providers examine the foot, both while bearing weight and without weight, to assess the foot’s alignment, walking pattern or gait, range of motion of the joint, and any associated deformity. These assessments help the physician to determine the extent of the deformity and identify the most appropriate treatment options.

Treatment for hallux valgus often involves non-surgical interventions, such as the use of a night splint to restore the toe’s position, and the use of pain medication, like nonsteroidal anti-inflammatory drugs (NSAIDs), to alleviate discomfort. Changing one’s footwear to use softer, wider shoes may also help improve the symptoms associated with hallux valgus.

In some cases, surgical intervention may be necessary to correct the deformity. In these instances, a specialist will perform procedures to address both the bone and soft tissue defects. The type of procedure depends on the severity of the deformity, and may range from a simple bunionectomy to more complex surgeries involving joint realignment.

It is important to understand that hallux valgus can cause long-term complications if left untreated, including arthritis, chronic pain, and further deformities of the affected foot. Prompt medical attention and intervention can improve the quality of life for patients with hallux valgus and address any underlying conditions contributing to the development of the deformity.

In conclusion, hallux valgus is a common condition of the foot that can cause significant pain and discomfort. Patients experiencing symptoms associated with this condition should seek medical attention from a healthcare professional specialized in this area. Early intervention can help address the condition and prevent further complications.

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