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K21.00 - Gastro-esophageal reflux disease with esophagitis, without bleeding

GERD (acid reflux disease) has caused inflammation in the esophagus but there is no bleeding present.

ICD-10

Clinical Definition

A hallux valgus deformity is a progressive foot condition where the big toe (hallux) deviates laterally toward the other toes, creating a prominent medial eminence or "bunion" at the first metatarsophalangeal (MTP) joint.

Documentation Requirements

  • Laterality: Must specify:

    • Right foot

    • Left foot

    • Bilateral

  • Severity: Document degree of deformity:

    • Mild

    • Moderate

    • Severe

  • Associated Conditions:

    • Presence/absence of bursitis

    • Status of MTP joint

    • Any gait abnormalities

  • Impact:

    • Functional limitations

    • Pain levels

    • Effect on daily activities

Common Synonyms

  • Bunion

  • Big toe deformity

  • Crooked big toe

  • First toe angulation

Coding Conflicts

Excludes1:

  • Acquired deformities of other toes (not hallux)

  • Hallux rigidus

  • Hallux malleus

Excludes2:

  • Bunion formation without hallux valgus

  • Congenital hallux valgus

Scribing.io Automation

The AI scribe automatically detects and captures:

  • Anatomical terms ("hallux," "first MTP joint")

  • Directional terms ("lateral deviation")

  • Severity descriptors

  • Associated symptoms

  • Treatment plans

Key phrases like "bunion," "big toe deviation," or "hallux valgus" trigger the system to probe for required specificity in laterality and severity.

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How does the AI medical scribe work?

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How do I get started?

Still not sure? Book a free discovery call now.

Frequently

asked question

Answers to your asked queries

What is Scribing.io?

How does the AI medical scribe work?

Does Scribing.io support ICD-10 and CPT codes?

Can I edit or review notes before they go into my EHR?

Does Scribing.io work with telehealth and video visits?

Is Scribing.io HIPAA compliant?

Is patient data used to train your AI models?

How do I get started?

Still not sure? Book a free discovery call now.

Frequently

asked question

Answers to your asked queries

What is Scribing.io?

How does the AI medical scribe work?

Does Scribing.io support ICD-10 and CPT codes?

Can I edit or review notes before they go into my EHR?

Does Scribing.io work with telehealth and video visits?

Is Scribing.io HIPAA compliant?

Is patient data used to train your AI models?

How do I get started?

Didn’t find what you’re looking for?
Book a call with our AI experts.

Didn’t find what you’re looking for?
Book a call with our AI experts.

Didn’t find what you’re looking for?
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