Flat foot [pes planus] (acquired)
ICD-10 M21.4 is a billable code used to indicate a diagnosis of flat foot [pes planus] (acquired).
Acquired flat foot, or pes planus, is a condition characterized by the collapse of the medial longitudinal arch of the foot, resulting in a flat appearance. This deformity can arise due to various factors including trauma, obesity, aging, or conditions such as rheumatoid arthritis or diabetes. Unlike congenital flat foot, which is present at birth, acquired flat foot develops over time and can lead to pain and dysfunction in the foot and ankle. Patients may experience symptoms such as foot fatigue, pain in the arch or heel, and difficulty with activities that require standing or walking for prolonged periods. The condition can also lead to secondary issues such as hallux valgus, where the big toe deviates laterally, and other toe abnormalities. Treatment options may include orthotic devices, physical therapy, and in some cases, surgical interventions to correct the deformity and alleviate symptoms. Proper diagnosis and management are essential to prevent further complications and improve the patient's quality of life.
Detailed foot examination findings, including arch assessment and any associated deformities.
Patients presenting with foot pain, difficulty walking, or deformities such as bunions.
Ensure to document the specific type of flat foot and any corrective measures taken.
Comprehensive assessment of foot mechanics and any imaging studies performed.
Patients with flat foot requiring surgical intervention or those with associated joint pain.
Document the rationale for surgical procedures and any pre-operative assessments.
Used in surgical correction of hallux valgus associated with flat foot.
Document the indication for surgery and pre-operative assessments.
Podiatrists and orthopedic surgeons should ensure clear documentation of the surgical approach.
Common causes include obesity, trauma, aging, and conditions such as rheumatoid arthritis and diabetes.
Treatment options include orthotics, physical therapy, and surgical interventions depending on the severity and associated conditions.
