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Home/Diagnosis/ICD-10 Coding for Hallux Limitus

ICD-10 Coding for Hallux Limitus

M20.11
M20.12
M20.10

Complete ICD-10-CM coding and documentation guide for icd-10 coding for hallux limitus includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Functional Hallux Limitus
Structural Hallux Limitus
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Key Information: ICD-10 Coding for Hallux Limitus

Essential facts and insights about ICD-10 Coding for Hallux Limitus

Use ICD-10 code M20.11 for hallux limitus, right foot, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Hallux limitus, right foot

Billable Code
M20.11
Billable

Diagnostic Criteria

clinical:
  • • Dorsiflexion between 25° and 30° with pain on activity
documentation:
  • • Specify laterality and degree of motion

Applicable To

  • • Functional hallux limitus
  • • Structural hallux limitus

Important Notes

  • • Ensure documentation specifies laterality and degree of dorsiflexion.

Hallux limitus, left foot

Billable Code
M20.12
Billable

Diagnostic Criteria

clinical:
  • • Dorsiflexion between 25° and 30° with pain on activity
documentation:
  • • Specify laterality and degree of motion

Applicable To

  • • Functional hallux limitus
  • • Structural hallux limitus

Important Notes

  • • Ensure documentation specifies laterality and degree of dorsiflexion.

Hallux limitus, unspecified foot

Billable Code
M20.10
Billable

Diagnostic Criteria

clinical:
  • • Dorsiflexion between 25° and 30° with pain on activity
documentation:
  • • Specify laterality and degree of motion

Applicable To

  • • Functional hallux limitus
  • • Structural hallux limitus

Important Notes

  • • Avoid using this code unless laterality cannot be determined.
Ancillary Codes

Additional codes that may be used with this diagnosis

M77.9

Enthesopathy, unspecified

For associated sesamoiditis

Z96.611

Presence of orthotic devices

If custom orthotics are used

G89.29

Chronic pain

For persistent pain >3 months

Frequently Asked Questions

What is the ICD-10 code for hallux limitus?

The ICD-10 code for hallux limitus is M20.11 for the right foot and M20.12 for the left foot. Use M20.10 if laterality is unspecified.

How is hallux limitus different from hallux rigidus?

Hallux limitus involves reduced dorsiflexion (25°–30°) without crepitus, while hallux rigidus is more severe with dorsiflexion ≤10° and crepitus.

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