Acquired clawfoot
ICD-10 M21.53 is a billable code used to indicate a diagnosis of acquired clawfoot.
Acquired clawfoot is a deformity characterized by hyperextension of the metatarsophalangeal joints and flexion of the proximal and distal interphalangeal joints of the toes, resulting in a claw-like appearance. This condition can arise from various underlying causes, including neurological disorders, trauma, or prolonged pressure on the feet. Unlike congenital clawfoot, which is present at birth, acquired clawfoot develops later in life, often due to conditions such as diabetes, stroke, or peripheral neuropathy. Patients may experience pain, difficulty walking, and an increased risk of foot ulcers due to abnormal pressure distribution. Treatment options may include orthotic devices, physical therapy, and in some cases, surgical intervention to correct the deformity and alleviate symptoms. Understanding the etiology and management of acquired clawfoot is essential for accurate diagnosis and coding, as it can significantly impact patient care and outcomes.
Detailed clinical notes including patient history, physical examination findings, and treatment plans.
Patients presenting with foot pain, deformities, or complications from diabetes.
Ensure documentation reflects the functional impact of the deformity and any associated conditions.
Comprehensive assessment of foot structure, gait analysis, and imaging studies.
Patients requiring surgical intervention for severe deformities or those with significant functional impairment.
Document the rationale for surgical procedures and expected outcomes.
Used when surgical intervention is required for severe clawfoot.
Pre-operative assessment, surgical notes, and post-operative follow-up.
Podiatrists and orthopedic surgeons should document the rationale for surgery and expected outcomes.
Common causes include neurological disorders, trauma, diabetes, and prolonged pressure on the feet. Each case should be evaluated individually to determine the underlying etiology.
