M25.774 Osteophyte, right foot

ICD-10-CM Code M25.774: Osteophyte, right foot

ICD-10-CM code M25.774 identifies an osteophyte located in the right foot. Osteophytes are radiographic features that can be evaluated in foot joints, and their presence has shown an association with foot pain severity. This code provides laterality and anatomic specificity, distinguishing the right foot from the left foot or ankle locations. 3 2 1

Plain-language overview

ICD-10-CM code M25.774 represents an osteophyte in the right foot, providing a specific diagnosis for this particular anatomical location and side. 3

What this code represents

The code M25.774 is distinct from neighboring codes such as M25.775 for the left foot and M25.771 for the right ankle, establishing specific laterality and anatomical site distinctions. 3

Clinical context

Research indicates that the severity of foot pain has shown an association with the presence of osteophytes in individuals with first metatarsophalangeal joint osteoarthritis. 2

Clinical study protocols include scoring foot images for radiographic features like osteophytes at specific joints, including the first metatarsophalangeal joint, using established classification systems. 1

Documentation considerations

Clinical assessments of foot conditions document laterality such as right foot only, left foot only, or both feet, which aligns with the specific right foot designation of code M25.774. 1 3

Coverage and utilization context

Musculoskeletal conditions of the foot and ankle represent a public health challenge due to their increasing incidence and substantial negative impact on patients' quality of life. 2

What the sources add

While the terminology source defines the exact code label, the clinical literature provides context that osteophytes are radiographic features assessed in foot osteoarthritis research and are associated with pain severity. 3 2 1

The clinical assessment study of the foot focuses on identifying radiographic phenotypes of foot osteoarthritis in older adults, noting a paucity of research evidence concerning these phenotypes and their impact on symptoms. 1

Questions to verify

The supplied sources do not establish whether a diagnosis of M25.774 guarantees payer coverage or specify the exact clinical documentation elements needed for billing this particular code. 3 2

Sources

1. The clinical assessment study of the foot (CASF): study protocol for a prospective observational study of foot pain and foot osteoarthritis in the general population — pmc.ncbi.nlm.nih.gov; accessed 2026-07-25.
2. Musculoskeletal Conditions of the Foot and Ankle: Assessments and Treatment Options — pmc.ncbi.nlm.nih.gov; accessed 2026-07-25.
3. EVS Explore — evsexplore.semantics.cancer.gov; accessed 2026-07-25.