M20.11

M20.11: Hallux valgus (acquired), right foot

Billable / specific codeICD-10-CMright

M20.11 is a billable, specific ICD-10-CM code for hallux valgus (acquired), right foot. It is valid for submission on a claim.

Check M20.11 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above M20.11

A category’s note binds every code beneath it.

Written on M20: Acquired deformities of fingers and toes

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.-)

Excludes2 inherited from the categories above M20.11

Not part of this code, but both may be coded when both are present.

Written on M20.1: Hallux valgus (acquired)

bunion (M21.6-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

M20.11 is named in 13 Medicare coverage policies: 6 listing it as supporting medical necessity, and 7 listing it as NOT covered. Which one applies depends on your Medicare contractor.

A58865Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A58883Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A58893Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered
A59374Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Woundnot covered

Code history

Unchanged in every release from FY2024 to FY2027.