Flat foot [pes planus] (acquired), left foot
ICD-10 M21.42 is a billable code used to indicate a diagnosis of flat foot [pes planus] (acquired), left foot.
Acquired flat foot, or pes planus, is a condition characterized by the collapse of the medial longitudinal arch of the foot, leading to a flat appearance. This condition can develop due to various factors including injury, obesity, aging, or conditions such as diabetes or rheumatoid arthritis. In adults, acquired flat foot often results from dysfunction of the posterior tibial tendon, which plays a crucial role in maintaining the arch. Symptoms may include pain in the foot, ankle, or lower leg, difficulty walking, and fatigue. Diagnosis typically involves a physical examination, patient history, and imaging studies such as X-rays or MRI to assess the structure of the foot and rule out other conditions. Treatment options vary based on severity and may include orthotic devices, physical therapy, medications for pain relief, and in some cases, surgical intervention to correct the deformity and restore function.
Detailed patient history, physical examination findings, imaging results, and treatment plans.
Patients presenting with foot pain, difficulty walking, or previous injuries leading to flat foot.
Ensure clear documentation of the acquired nature and any associated conditions.
Comprehensive assessment of foot structure, functional limitations, and treatment options.
Patients with flat foot requiring surgical intervention or conservative management.
Document any surgical procedures performed and their relation to the flat foot condition.
Used when surgical intervention is required for severe acquired flat foot.
Pre-operative assessment, surgical notes, and post-operative follow-up.
Orthopedic surgeons must document the rationale for surgery and expected outcomes.
Acquired flat foot develops due to factors such as injury or disease, while congenital flat foot is present at birth and is due to developmental issues.
