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ICD-10 Guide
ICD-10 CodesM21.539

M21.539

Billable

Acquired clawfoot, unspecified foot

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/17/2025

Code Description

ICD-10 M21.539 is a billable code used to indicate a diagnosis of acquired clawfoot, unspecified foot.

Key Diagnostic Point:

Acquired clawfoot, also known as claw toe or claw foot deformity, is characterized by hyperextension of the metatarsophalangeal joints and flexion of the proximal and distal interphalangeal joints of the toes. This condition can arise from various underlying causes, including neurological disorders, muscle imbalances, or trauma. The deformity can lead to significant functional impairment, pain, and difficulty in ambulation. Patients may experience calluses, corns, or ulcerations on the toes or the dorsal aspect of the foot due to abnormal pressure distribution. The condition is often associated with other foot deformities such as hallux valgus, where the big toe deviates laterally. Treatment options may include conservative measures such as orthotic devices, physical therapy, and pain management, or surgical interventions to correct the deformity and restore normal foot function. Accurate diagnosis and documentation are crucial for effective management and coding of this condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in clinical presentation and severity of the deformity
  • Potential overlap with other foot deformities (e.g., hallux valgus)
  • Need for detailed documentation of underlying causes
  • Variations in treatment approaches and their documentation

Audit Risk Factors

  • Inadequate documentation of the underlying cause of the clawfoot
  • Failure to specify the affected foot
  • Lack of detail in treatment plans or outcomes
  • Inconsistent coding with other foot deformities

Specialty Focus

Medical Specialties

Podiatry

Documentation Requirements

Detailed foot examination findings, including range of motion and deformity assessment.

Common Clinical Scenarios

Patients presenting with foot pain, difficulty walking, or visible deformities.

Billing Considerations

Documentation should include any prior treatments and their outcomes.

Orthopedics

Documentation Requirements

Comprehensive assessment of foot structure and function, including imaging studies if applicable.

Common Clinical Scenarios

Post-traumatic clawfoot deformities or those secondary to neurological conditions.

Billing Considerations

Consideration of surgical options and their implications for coding.

Coding Guidelines

Inclusion Criteria

Use M21.539 When
  • According to ICD
  • 10 coding guidelines, M21
  • 539 should be used when the specific foot is not documented
  • Coders should ensure that the documentation supports the diagnosis and any associated conditions

Exclusion Criteria

Do NOT use M21.539 When
  • Exclusion criteria include congenital deformities and specific neurological conditions that may have their own codes

Related ICD-10 Codes

Related CPT Codes

28285CPT Code

Correction of claw toe deformity

Clinical Scenario

Used when surgical intervention is performed to correct clawfoot.

Documentation Requirements

Surgical notes detailing the procedure and indications.

Specialty Considerations

Podiatrists and orthopedic surgeons should document pre-operative assessments.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of acquired clawfoot, improving the ability to capture the complexity of the condition and its treatment. This specificity aids in better patient management and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of acquired clawfoot, improving the ability to capture the complexity of the condition and its treatment. This specificity aids in better patient management and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of acquired clawfoot, improving the ability to capture the complexity of the condition and its treatment. This specificity aids in better patient management and resource allocation.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between acquired clawfoot and congenital clawfoot?

Acquired clawfoot develops due to external factors such as trauma or neurological conditions, while congenital clawfoot is present at birth and results from genetic factors.