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M20.41 vs M20.42

M20.41 (Other hammer toe(s) (acquired), right foot) compared with M20.42 (Other hammer toe(s) (acquired), left foot), from the official CMS tabular data. M20.41 and M20.42 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

M20.41
Right
Other hammer toe(s) (acquired), right foot
M20.42
Left
Other hammer toe(s) (acquired), left foot

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. M20.41 and M20.42 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

M20.41Other hammer toe(s) (acquired), right footM20.42Other hammer toe(s) (acquired), left foot
Billing statusBillableBillable
ClassificationM00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)M00-M99 — Diseases of the Musculoskeletal System and Connective Tissue (M00-M99)
DefinitionOther hammer toe(s) (acquired), right foot is a billable ICD-10-CM diagnosis code (M20.41).Other hammer toe(s) (acquired), left foot is a billable ICD-10-CM diagnosis code (M20.42).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources